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dc.contributor.authorWalz, J. Matthias
dc.contributor.authorEllison, Richard T. III
dc.contributor.authorFlaherty, Helen
dc.contributor.authorMcIlwaine, John
dc.contributor.authorMack, Deborah Ann
dc.contributor.authorWhyte, Kathleen
dc.contributor.authorLandry, Karen
dc.contributor.authorBaker, Stephen P.
dc.contributor.authorHeard, Stephen O.
dc.contributor.authorCCOC Research Group
dc.date2022-08-11T08:07:58.000
dc.date.accessioned2022-08-23T15:37:27Z
dc.date.available2022-08-23T15:37:27Z
dc.date.issued2012-02-04
dc.date.submitted2012-08-14
dc.identifier.citation<p>Walz J, Ellison R, Flaherty H, McIlwaine J, Mack D, Whyte K, Heard S. Effect of a multidisciplinary team approach to eradicate central venous catheter (CVC) bloodstream infections (CRBSI). Crit Care Med 2011;39 (Suppl):161.</p>
dc.identifier.doi10.13028/bk9m-4855
dc.identifier.urihttp://hdl.handle.net/20.500.14038/25718
dc.description<p>Poster presentation at the Society of Critical Care Medicine’s 41st Critical Care Congress in Houston, Texas, February 4-8, 2012.</p>
dc.description.abstractIntroduction: CLABSI remains a significant problem in the intensive care unit. Hypothesis: A multimodal approach for the insertion and care of CVC will prevent CLABSI. Methods: A Critical Care Operations Committee was formed to transform care in 8 intensive care units (ICU) in an academic medical center in 9/2004. One goal was to reduce CLABSI. Using evidence based medicine, a clinical practice guideline was developed that incorporated the use of maximum barrier precautions, chlorhexidine skin preparation, avoidance of the femoral insertion site, dedicated catheter cart, a check list, the tracking of high risk CVC, anti-septic or antimicrobial impregnated catheters, a recommendation to use ultrasound guidance when inserting CVC in the internal jugular vein, daily determination of the need for the CVC and treatment of CLABSI as a critical event.CLABSI were adjudicated by the hospital epidemiologist and CVC days were tracked. Rates of CLABSI were followed from 9/2004 through 7/2011. The Spearman correlation coefficient was used for statistical evaluation. A p Results: CLABSI rates (per 1000 catheter-days) declined dramatically from 2004 to 2011 (p Conclusions: A multimodal approach to CVC insertion and care reduces CLABSI by over 90%. Our ultimate goal is the complete eradication of CRBSI in our institution.
dc.language.isoen_US
dc.rightsCopyright 2012 The Author(s)
dc.subjectCatheters, Indwelling
dc.subjectCatheterization, Central Venous
dc.subjectCatheter-Related Infections
dc.subjectBacteremia
dc.subjectCentral Line Associated Blood-Stream Infections
dc.subjectCLABSI
dc.subjectICU
dc.subjectintensive care unit
dc.subjectcritical care
dc.subjectAnesthesia and Analgesia
dc.subjectAnesthesiology
dc.subjectBacterial Infections and Mycoses
dc.subjectCritical Care
dc.titleEffect of a Multidisciplinary Team Approach to Eradicate Central Line Associated Blood-Stream Infections (CLABSI)
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1126&amp;context=anesthesiology_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/anesthesiology_pubs/123
dc.identifier.contextkey3212436
refterms.dateFOA2022-08-23T15:37:27Z
html.description.abstract<p>Introduction: CLABSI remains a significant problem in the intensive care unit.</p> <p>Hypothesis: A multimodal approach for the insertion and care of CVC will prevent CLABSI.</p> <p>Methods: A Critical Care Operations Committee was formed to transform care in 8 intensive care units (ICU) in an academic medical center in 9/2004. One goal was to reduce CLABSI. Using evidence based medicine, a clinical practice guideline was developed that incorporated the use of maximum barrier precautions, chlorhexidine skin preparation, avoidance of the femoral insertion site, dedicated catheter cart, a check list, the tracking of high risk CVC, anti-septic or antimicrobial impregnated catheters, a recommendation to use ultrasound guidance when inserting CVC in the internal jugular vein, daily determination of the need for the CVC and treatment of CLABSI as a critical event.CLABSI were adjudicated by the hospital epidemiologist and CVC days were tracked. Rates of CLABSI were followed from 9/2004 through 7/2011. The Spearman correlation coefficient was used for statistical evaluation. A p</p> <p>Results: CLABSI rates (per 1000 catheter-days) declined dramatically from 2004 to 2011 (p</p> <p>Conclusions: A multimodal approach to CVC insertion and care reduces CLABSI by over 90%. Our ultimate goal is the complete eradication of CRBSI in our institution.</p>
dc.identifier.submissionpathanesthesiology_pubs/123
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Medicine, Division of Infectious Diseases and Immunology
dc.contributor.departmentDepartment of Anesthesiology


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