title: The Effect of Interdisciplinary Team Rounds on Urinary Catheter and Central Venous Catheter Days and Rates of Infection.
abstract: Interdisciplinary team (IDT) rounds were initiated in the intensive care unit (ICU) in June 2010. All catheters were identified by location, duration, and indication. Catheters with no indication were removed. Data were collected retrospectively on catheter days and associated infections in a 20-month period before and after intervention with an aggregate of 19 207 ICU days before and 23 576 ICU days after institution of rounds. Results showed a statistically significant decrease in the number of indwelling urinary catheter (IUC) days (5304 vs 4541 days, P = .05) and catheter-associated urinary tract infection rates (4.71 vs 1.98 infections/1000 ICU days, P < .05). Central line days statistically increased after IDT rounds (3986 vs 4305 days, P < .05) but the catheter-related bloodstream infection rate trended down (3.5 vs 1.6 infections/1000 ICU days, P = .62). This analysis suggests that IDT rounds may have an impact on reducing the number of IUC days and associated infections.
authors.affiliation: Newark Beth Israel Medical Center, Newark, NJ.
authors.forename: Navneet
authors.initials: N
authors.lastname: Arora
authors.affiliation: Newark Beth Israel Medical Center, Newark, NJ.
authors.forename: Killol
authors.initials: K
authors.lastname: Patel
authors.affiliation: Newark Beth Israel Medical Center, Newark, NJ.
authors.forename: Christian A
authors.initials: CA
authors.lastname: Engell
authors.affiliation: Newark Beth Israel Medical Center, Newark, NJ JenniferLaRosa@yahoo.com.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: LaRosa
mesh_terms: D055499:Catheter-Related Infections / Q000453:epidemiology* / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000706:statistics & numerical data; D058996:Quality Improvement; D056164:Teaching Rounds / Q000379:methods; D014546:Urinary Catheterization / Q000009:adverse effects / Q000706:statistics & numerical data*
keywords: CAUTI; CRBSI; catheter-related infections; multidisciplinary rounds