Document Detail


Educational interventions to reduce the rate of central catheter-related bloodstream infections in the NICU: a review of the research literature.
MedLine Citation:
PMID:  19892637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Catheter-related bloodstream infections (CR-BSIs) are a significant cause of morbidity and mortality in the NICU, occurring at rates ranging from 11.3 per 1,000 catheter days in infants <1,000 g to 4 per 1,000 catheter days in infants >2,500 g. Cost-effective and successful educational interventions aimed at nurses have been shown to decrease CR-BSIs with adults, but no such studies address neonatal nurses. This literature review examined how educational interventions could help neonatal nurses reduce infection rates in patients with central venous catheters. Four databases were searched: PubMed, CINAHL, Cochrane, and OVID. Of ten studies that measured CR-BSIs before and after educational interventions, nine showed a postintervention reduction in the rate of CR-BSIs of 40 percent or greater (eight demonstrating statistically significant reductions), and the tenth reported a reduction rate of 21 percent. All of the educational programs had additional intervention components, so it is not possible to ascribe all the success to the education, but this review suggests that this topic needs to be studied with the NICU population.
Authors:
Carrie F Semelsberger
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neonatal network : NN     Volume:  28     ISSN:  1539-2880     ISO Abbreviation:  Neonatal Netw     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-06     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  391-5     Citation Subset:  N    
Affiliation:
Perinatal Women's Health Nurse Practitioner Program, Stony Brook University, Stony Brook, New York, USA. carriesemelsberger@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Bacteremia / etiology,  nursing,  prevention & control*
Catheter-Related Infections / etiology,  nursing*,  prevention & control*
Catheterization, Central Venous / adverse effects*,  nursing
Cross Infection / etiology,  nursing,  prevention & control*
Equipment Contamination / prevention & control
Guideline Adherence
Humans
Infant, Newborn
Infection Control / methods
Inservice Training / organization & administration*
Intensive Care Units, Neonatal
Neonatal Nursing / education*,  methods
Nursing Education Research
Nursing Staff, Hospital / education

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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