scrubbing each port of the catheter with an alcohol pad and hub replacement every 72 hours (Guerin et al., 2010, p. 432). Results According to Guerin et al. (2010), implementation of the postinsertion bundle resulted in a reducing both the number of days that the catheter was in place and the number of CLABSIs. A baseline was established during the preintervention period using the device-day data collection. It was found that within the MICU and SICU at DVAMC-Denver within a two-year period 4415 days of catheter use were were 25 CLABSIs, for an incidence of 5.7 reported. “There CLASBIs/1000 catheter (Guerin et al., 2010, p. 432). Within the period of one year during days” which use of postinsertion bundle had been implemented 3 CLABSIs and 2825 catheter days were reported equaling an incidence rate of 1.1CLASBSIs/1000 catheter days (Guerin et al.). relative risk for a CLABSI during the postintervention period compared with the “The preintervention period was 0.19 (95% confidence interval [CI], 0.06-0.63;P=.004)” (Guerin et al., p. 432). Discussion median dwell time between catheter insertion and onset of infection was 12 days, “The which led us to suspect that events occurring after insertion might be responsible for the et al., 2010, p. 432). Guerlin et al. hypothesized that proper education and infection” (Guerlin implementation of the postinsertion bundle, both combining and utilizing previously studied interventions, would reduce the incidence of CLABSIs. The authors stressed that while sterile insertion technique alone will likely initially prevent infection, the care following insertion will work to ensure that the patients remained infection free. This study shows that there are almost
scrubbing each port of the catheter with an alcohol pad and hub replacement every 72 hours (Guerin et al., 2010, p. 432). Results According to Guerin et al. (2010), implementation of the postinsertion bundle resulted in a reducing both the number of days that the catheter was in place and the number of CLABSIs. A baseline was established during the preintervention period using the device-day data collection. It was found that within the MICU and SICU at DVAMC-Denver within a two-year period 4415 days of catheter use were reported. “There were 25 CLABSIs, for an incidence of 5.7 CLASBIs/1000 catheter days” (Guerin et al., 2010, p. 432). Within the period of one year during which use of postinsertion bundle had been implemented 3 CLABSIs and 2825 catheter days were reported equaling an incidence rate of 1.1CLASBSIs/1000 catheter days (Guerin et al.). “The relative risk for a CLABSI during the postintervention period compared with the preintervention period was 0.19 (95% confidence interval [CI], 0.06-0.63;P=.004)” (Guerin et al., p. 432). Discussion “The median dwell time between catheter insertion and onset of infection was 12 days, which led us to suspect that events occurring after insertion might be responsible for the infection” (Guerlin et al., 2010, p. 432). Guerlin et al. hypothesized that proper education and implementation of the postinsertion bundle, both combining and utilizing previously studied interventions, would reduce the incidence of CLABSIs. The authors stressed that while sterile insertion technique alone will likely initially prevent infection, the care following insertion will work to ensure that the patients remained infection free. This study shows that there are almost
evidenced_based_practice_the_effectiveness_of_chlorahexidine_in_decreasing_central_line_infections_in_a_hospital_setting.docx