APSIC guide for prevention of Central Line Associated Bloodstream Infections (CLABSI)
Moi Lin Ling,Anucha Apisarnthanarak,Namita Jaggi,Glenys Harrington,Keita Morikane,Le Thi Anh Thu,Patricia T.Y. Ching,Victoria Villanueva,Zhiyong Zong,Jae Sim Jeong,Chun-Ming Lee +10 more
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TLDR
A surveillance program is recommended to monitor outcomes and adherence to evidence-based central line insertion and maintenance practices (compliance rate) and identify quality improvement opportunities and strategically targeting interventions for the reduction of CLABSI.Abstract:
This document is an executive summary of the APSIC Guide for Prevention of Central Line Associated Bloodstream Infections (CLABSI). It describes key evidence-based care components of the Central Line Insertion and Maintenance Bundles and its implementation using the quality improvement methodology, namely the Plan-Do-Study-Act (PDSA) methodology involving multidisciplinary process and stakeholders. Monitoring of improvement over time with timely feedback to stakeholders is a key component to ensure the success of implementing best practices. A surveillance program is recommended to monitor outcomes and adherence to evidence-based central line insertion and maintenance practices (compliance rate) and identify quality improvement opportunities and strategically targeting interventions for the reduction of CLABSI.read more
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Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association
Sean van Diepen,Jason N. Katz,Nancy M. Albert,Timothy D. Henry,Alice K. Jacobs,Navin K. Kapur,Ahmet Kilic,Venu Menon,E. Magnus Ohman,Nancy K. Sweitzer,Holger Thiele,Jeffrey B. Washam,Mauricio G. Cohen +12 more
TL;DR: The epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock are summarized; contemporary best medical, surgical, mechanical circulatory support, and palliative care practices are reviewed; the development of regionalized systems of care is advocated; and future research priorities are outlined.
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Chlorhexidine compared with povidone-iodine solution for vascular catheter site care: a meta-analysis☆
TL;DR: Patients with central vascular lines who receive chlorhexidine gluconate versus povidone-iodine for insertion-site skin disinfection are suggested to receive a simple and effective means of reducing vascular catheter-related infections.
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ESPEN guideline on home enteral nutrition
Stephan C. Bischoff,Peter Austin,Kurt Boeykens,Michael Chourdakis,Cristina Cuerda,Cora F. Jonkers-Schuitema,Marek Lichota,Ibolya Nyulasi,Stéphane M. Schneider,Zeno Stanga,Loris Pironi +10 more
TL;DR: This guideline is based on current evidence and expert opinion and consists of 61 recommendations that address the indications for H EN, relevant access devices and their use, the products recommended, the monitoring and criteria for termination of HEN, and the structural requirements needed to perform HEN.
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APSIC guidelines for the prevention of surgical site infections
Moi Lin Ling,Anucha Apisarnthanarak,Azlina Amir Abbas,Keita Morikane,Kil Yeon Lee,Anup Warrier,Koji Yamada +6 more
TL;DR: This document describes the guidelines and recommendations for the setting prevention of surgical site infections and recommends that healthcare facilities review specific risk factors and develop effective prevention strategies, which would be cost effective at local levels.
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Candidemia in children: Epidemiology, prevention and management
TL;DR: Over the last 10 years, a declining trend has been noted in the incidence of paediatric candidemia in the US and elsewhere due to the hospital‐wide implementation of central‐line insertion and maintenance bundles that emphasise full sterile barrier precautions.
References
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Journal ArticleDOI
An intervention to decrease catheter-related bloodstream infections in the ICU
Peter J. Pronovost,Dale M. Needham,Sean M. Berenholtz,David J. Sinopoli,Haitao Chu,Sara E. Cosgrove,Bryan Sexton,Robert C. Hyzy,Robert J. Welsh,Gary Roth,Joseph Bander,John P. Kepros,Christine A. Goeschel +12 more
TL;DR: An evidence-based intervention resulted in a large and sustained reduction (up to 66%) in rates of catheter-related bloodstream infection that was maintained throughout the 18-month study period.
Journal ArticleDOI
Guidelines for the Prevention of Intravascular Catheter-related Infections
Naomi P. O'Grady,Mary Alexander,Lillian A. Burns,E. Patchen Dellinger,Jeffrey Garland,Stephen O. Heard,Pamela A. Lipsett,Henry Masur,Leonard A. Mermel,Michele L. Pearson,Issam I Raad,Adrienne G. Randolph,Mark E. Rupp,Sanjay Saint +13 more
TL;DR: In this paper, the authors developed guidelines for healthcare personnel who insert intravascular catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home healthcare settings.
Journal ArticleDOI
Ultrasonic locating devices for central venous cannulation: meta-analysis.
Daniel Hind,Neill Calvert,Richard McWilliams,Andrew Davidson,Suzy Paisley,Catherine Beverley,Steven Thomas +6 more
TL;DR: Evidence supports the use of two dimensional ultrasonography for central venous cannulation in adults and in infants.
Journal ArticleDOI
Guidelines for the prevention of intravascular catheter-related infections.
Naomi P. O'Grady,Mary Alexander,E. Patchen Dellinger,Julie L. Gerberding,Stephen O. Heard,Dennis G. Maki,Henry Masur,Rita D. McCormick,Leonard A. Mermel,Michele L. Pearson,Issam I Raad,Adrienne G. Randolph,Robert A. Weinstein,Jane D. Siegel,Raymond Chinn,Alfred DeMaria,Elaine Larson,James T. Lee,Ramon E. Moncada,William A. Rutala,William E. Scheckler,Beth H. Stover,Marjorie A. Underwood +22 more
TL;DR: The recommended preventive strategies with the strongest supportive evidence are education and training of healthcare providers who insert and maintain catheters, and maximal sterile barrier precautions during central venous catheter insertion, which can reduce the risk for serious catheter-related infection.