Investigating potential drivers of increased central line-associated bloodstream infections during the coronavirus disease 2019 (COVID-19) Omicron surge

被引:3
|
作者
Kang, Heeeun [1 ,2 ,3 ]
Stewart, Kathleen O. [4 ]
Khan, Asif N. [1 ,3 ]
Casale, Stephanie C. [5 ]
Barker, Caitlin M. Adams [5 ]
Kim, Justin J. [1 ,3 ,5 ]
机构
[1] Dartmouth Hitchcock Med Ctr, Dept Med, Sect Infect Dis & Int Hlth, Lebanon, NH USA
[2] Dartmouth Inst, Dartmouth Hitchcock Med Ctr, Lebanon, NH USA
[3] Geisel Sch Med Dartmouth, Hanover, NH USA
[4] Dartmouth Hitchcock Med Ctr, Qual Assurance & Safety, Lebanon, NH USA
[5] Dartmouth Hitchcock Med Ctr, Collaborat Healthcare Associated Infect Prevent P, Lebanon, NH USA
关键词
Standardized infection ratio; Standardized utilization ratio; Practice evaluation tool; Traveling nurses; Healthcare-associated infection; CLABSI; IMPACT;
D O I
10.1016/j.ajic.2023.04.168
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Central line-associated bloodstream infection rates increased during the Omicron surge at our rural academic medical center. To identify potential drivers of this increase, we investigated period- and patient-specific factors associated with the increase in central line-associated bloodstream infection. Increased central line utilization, decreased central line bundle compliance monitoring, increased proportion of traveling nurses, increased short-term venous catheter use in the internal jugular vein, increased multilumen catheter use, decreased port-associated infection, and increased patient acuity were significantly associated with the surge. Our results helped us target our local infection prevention efforts. (c) 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1196 / 1199
页数:4
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