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主委發表種類: 壁報

投稿標題(中): The Reduction of Central Line-Associated Bloodstream Infections in ICU by Bundle Care: Experiences from a medical center of Southern Taiwan

投稿標題(英): The Reduction of Central Line-Associated Bloodstream Infections in ICU by Bundle Care: Experiences from a medical center of Southern Taiwan

投稿摘要: Background: BSIs always lead to severe infections, high mortality and prolonged hospital stay. Methods: During Nov. 2011 to Jul. 2013, a series of strategies to prevent CLABSIs were implemented by team resource management(TRM) with CVC bundle care guideline in a 1600-bed medical center with 120 ICU beds in southern Taiwan. All ICUs were randomly divided into two groups: with or without intervention. The intervention included checklists of CVC implantation and care content; providing education and training programs; feedback mechanism. Results: In the group with intervention, the duration of CVC implantation decreased for 1.1days after intervention (7.4 v.s. 5.8 days, P＜0.001). The rate of CLABSIs decreased from 3.5‰ to 0.8‰.The CLABSIs rate in group without intervention increased from 3.5‰ to 3.7‰. Conclusion: The CLABSIs could be further prevented by CVC bundle intervention and TRM. Continuous monitoring can shorten the implantation duration of CVC thus decrease the rate of CLABSIs.

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