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01-02-2018 | Editorial

The CVC and CRBSI: don’t use it and lose it!

Authors: K. B. Laupland, D. Koulenti, C. Schwebel

Published in: Intensive Care Medicine | Issue 2/2018

Excerpt

In a recent article in Intensive Care Medicine, van der Kooi and colleagues report on the PROHIBIT trial aimed at preventing catheter-related bloodstream infections (CRBSI) in intensive care units (ICU) [1]. Following a baseline observation period, the investigators randomly allocated 14 ICUs to interventions that included a catheter insertion and care and hand hygiene improvement strategies. Participating ICUs were geographically distributed in Europe among 11 culturally diverse countries and were university-affiliated in one half of cases. Catheter insertion practices and hand hygiene adherence improved with the assigned interventions and these had significant reduction in the primary outcome of incidence density of CRBSI. …

van der Kooi T, Sax H, Pittet D, van Dissel J, van Bentham B, Walder B, Cartier V, Clack L, de Greef S et al (2018) Prevention of hospital infections by intervention and training (PROHIBIT): results of a pan-European cluster-randomized multicenter study to reduce central venous catheter-related bloodstream infections. Intensive Care Med. https://doi.org/10.1007/s00134-017-5007-6 PubMedCrossRef

Liu S, Wang M, Wang G, Wu X, Guan W, Ren J (2017) Microbial characteristics of nosocomial infections and their association with the utilization of hand hygiene products: a hospital-wide analysis of 78,344 cases. Surg Infect (Larchmt) 18:676–683CrossRef

Shabot MM, Chassin MR, France AC, Inurria J, Kendrick J, Schmaltz SP (2016) Using the Targeted Solutions Tool(R) to improve hand hygiene compliance is associated with decreased health care-associated infections. Jt Comm J Qual Patient Saf 42:6–17CrossRefPubMed

Thi Anh Thu L, Thi Hong Thoa V, Thi Van Trang D, Phuc Tien N, Van Thuy D, Thi Kim Anh L, Wertheim HF, Truong Son N (2015) Cost-effectiveness of a hand hygiene program on health care-associated infections in intensive care patients at a tertiary care hospital in Vietnam. Am J Infect Control 43:e93–e99CrossRefPubMed

Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, van Beeck EF (2010) Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol 31:283–294CrossRefPubMed

Erasmus V, Brouwer W, van Beeck EF, Oenema A, Daha TJ, Richardus JH, Vos MC, Brug J (2009) A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene prevents cross-infection. Infect Control Hosp Epidemiol 30:415–419CrossRefPubMed

Battistella G, Berto G, Bazzo S (2017) Developing professional habits of hand hygiene in intensive care settings: an action-research intervention. Intensive Crit Care Nurs 38:53–59CrossRefPubMed

King D, Vlaev I, Everett-Thomas R, Fitzpatrick M, Darzi A, Birnbach DJ (2016) “Priming” hand hygiene compliance in clinical environments. Health Psychol 35:96–101CrossRefPubMed

Lydon S, Power M, McSharry J, Byrne M, Madden C, Squires JE, O’Connor P (2017) Interventions to improve hand hygiene compliance in the ICU: a systematic review. Crit Care Med 45:e1165–e1172CrossRefPubMed

10.

Musu M, Finco G, Mura P, Landoni G, Piazza MF, Messina M, Tidore M, Mucci M, Campagna M, Galletta M (2017) Controlling catheter-related bloodstream infections through a multi-centre educational programme for intensive care units. J Hosp Infect 97:275–281CrossRefPubMed

11.

Diegel-Vacek L, Ryan C (2016) Promoting hand hygiene with a lighting prompt. HERD 10:65–75CrossRefPubMed

12.

Ista E, van der Hoven B, Kornelisse RF, van der Starre C, Vos MC, Boersma E, Helder OK (2016) Effectiveness of insertion and maintenance bundles to prevent central-line-associated bloodstream infections in critically ill patients of all ages: a systematic review and meta-analysis. Lancet Infect Dis 16:724–734CrossRefPubMed

13.

Ricard JD, Salomon L, Boyer A, Thiery G, Meybeck A, Roy C, Pasquet B, Le Miere E, Dreyfuss D (2013) Central or peripheral catheters for initial venous access of ICU patients: a randomized controlled trial. Crit Care Med 41:2108–2115CrossRefPubMed

14.

Datar S, Gutierrez E, Schertz A, Vachharajani V (2017) Safety of phenylephrine infusion through peripheral intravenous catheter in the neurological intensive care unit. J Intensive Care Med. https://doi.org/10.1177/0885066617712214 PubMedCrossRef

15.

Brewer JM, Puskarich MA, Jones AE (2015) Can vasopressors safely be administered through peripheral intravenous catheters compared with central venous catheters? Ann Emerg Med 66:629–631CrossRefPubMed

16.

Loubani OM, Green RS (2015) A systematic review of extravasation and local tissue injury from administration of vasopressors through peripheral intravenous catheters and central venous catheters. J Crit Care 30:653.e9–653.e17CrossRef

17.

Delgado T, Wolfe B, Davis G, Ansari S (2016) Safety of peripheral administration of phenylephrine in a neurologic intensive care unit: a pilot study. J Crit Care 34:107–110CrossRefPubMed

Title: The CVC and CRBSI: don’t use it and lose it!
Authors: K. B. Laupland
D. Koulenti
C. Schwebel
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 2/2018
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-017-5033-4

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The CVC and CRBSI: don’t use it and lose it!

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