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Correlation of compliance with central line associated blood stream infection guidelines and outcomes: a review of the evidence
- Source :
- Southwest Journal of Pulmonary and Critical Care, Vol 4, Pp 163-173 (2012)
- Publication Year :
- 2012
- Publisher :
- Arizona Thoracic Society, 2012.
-
Abstract
- Background Clinical practice guidelines are developed to assist in patient care but the evidence basis for many guidelines has been called into question. Methods We conducted a literature review using PubMed and analyzed the overall quality of evidence and made strength of recommendation behind 8 Institute of Health Care (IHI) guidelines for prevention of central line associated blood stream infection (CLABSI). Quality of evidence was assessed by the American Thoracic Society (ATS) levels of evidence (levels I through III). We also examined data from our intensive care units (ICUs) for evidence of a correlation between guideline compliance and the development of VAP.Results None of the guidelines was graded at level I. Two of the guidelines were graded at level II and the remaining 6 at level III. Despite the lack of evidence, 2 of the guidelines (hand hygiene, sterile gloves) were given a strong recommendation. Chlorhexidine and use of nonfemoral sites were given a moderate recommendation. In our ICUs compliance with the use of chlorhexidine correlated with a reduction in CLABSI (p
- Subjects :
- gloves
lcsh:R5-130.5
chlorhexidine
lcsh:Medical emergencies. Critical care. Intensive care. First aid
central line associated blood stream infection
maximum barrier precautions
lcsh:RC86-88.9
cap
femoral central line
mask
hand hygiene
Institute of Healthcare Improvement
full body drape
lcsh:General works
Subjects
Details
- Language :
- English
- ISSN :
- 21606773
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- Southwest Journal of Pulmonary and Critical Care
- Accession number :
- edsair.doajarticles..b1ec9683354bfd720eb5059032b2b485