[New strategy of actuation in central venous catheter and its influence in infection].
The authors inquire if in an educational process and a change in the management for the central venous catheters, have any effect in the decrease of the catheter-related infection (CRI). The strategy consist on doing a new protocol and its communication to the professional people twice per year. A population descriptive analysis is done with medians and description of the etiology. The percentages of CRI are compared between controls periods of one year and intervention periods of one year as well, using association measurements. A total number of 31 CRI's were diagnosed, 19 in the control process and 12 in the intervention process with a results of 8.17 and 4.29 per thousand days of central venous catheter (OR = 0.52; IC = 95%, 0.25 -1.03). In no case was death related with the CRI. The new strategy of handling the central veins access, based on the implications of the assistant staff, reduce the risk of CRI
Unidad de Cuidados Intensivos, Hospital Universitario Juan XXIII, Tarragona, Spain. lauranguera@menta.es
Laura
L
Anguera Saperas
M
M
Aragonés Mestre
M
M
March Jardí
Ll
L
Rius Ferrús
S
S
Uruén Pueyo
E
E
Díaz Santos
A
A
Sandiumenge Camps
M
M
Salmerón Hernández
D018806:APACHE; D016470:Bacteremia / Q000517:prevention & control; D001424:Bacterial Infections / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000451:nursing*; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D017053:Infection Control; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D013997:Time Factors