Grigonis, Antony. M., Amanda M. Dawson, Mary Burkett, Arthur Dylag, Matthews Sears, and Betty Helber. Use of a Central Catheter Maintenance Bundle in Long-Term Acute Care Hospitals. American Journal of Critical Care, Vol. 25 no. 2, 2016. 165–172. https://doiorg.lopes.idm.oclc.org/10.4037/ajcc2016894https://lopes.idm.oclc.org/login
The article shows the evidence-based guidelines which are as a result of the decrease in infections of the bloodstream that are linked to central catheters (CLABSIs) in intensive care units of hospitals. The method used in this article involves the implementation of a central catheter maintenance bundle in 30 LTACHs and the conformity with the package tracked for six months. In this article, the findings were that the pooled mean rate of CLABSI was 1.28 before the bundle and 0.96 after the bundle. The shortcoming in this article is that little information is known about CLABSI cases and its aversion in the long-term acute care hospitals. This article brings out the fact that the bundle led to a significant and sustained decline in CLABSI figures in 30 long-term acute care hospitals in the fourteen months. (Grigonis, Dawson, Burkett, Dylag, Sears, and Helber, 168). The findings promote the making and implementation of related bundles as useful tactics for the reduction of infections in long-term acute care hospitals.
Pangan, Abagail, and Eileen Finerty A. Eliminating Central Line-associated Blood Stream Infection (CLABSI) on Patients Admitted with Central Lines Through Systematic Assessment and Line Maintenance. American Journal of Infection Control. 2017. https://doi-org.lopes.idm.oclc.org/10.1016/j.ajic.2017.04.159
The article investigates the home health care agency of the central line-associated bloodstream infection (CLABSI) descriptive and determent strategies. A survey was conducted to determine and recommend the best practices and central line care bundles for patients. The findings in this article were that from the study, more than half were able to complete it. The strategies of public of home health care groups had a wide variation compared to the national inpatient and home healthcare organization that marked criterion for CLABSI diagnosis and its prevention. (Pangan and Finerty, par 9). The article should research more on ways for standardizing the home health care activities that are in line with recommendations that are evidence-based.
Dick, Andrew W., Eli N. Perencevich, Monica Pogorzelska-Maziarz, Jack Zwanziger, Elaine L. Larson, and Patricia W. Stone. A decade of investment in infection prevention: A cost-effectiveness analysis. American Journal of Infection Control, Vo. 43 No. 1, 2015, 4–9. https://doi-org.lopes.idm.oclc.org/10.1016/j.ajic.2014.07.014
The article displays how infections that are associated with healthcare have reduced due to the development of infection prevention programs that are multifaceted. In the section, the main aim was to study the hospitals’ cost-effectiveness in the investments that focused on healthcare-associated infections (HAI) in intensive care units. The method used in this article was that five-year Medicare data was put together with the HAI rates and the fee along with the quality of life approximations taken from the literature. In the article, the findings were that the total life years and quality-adjusted life years increased because infection programs were 15.55 life years and 9.61 quality-adjusted life years. (Dick, Perencevich, Pogorzelska-Maziarz, Larson and Stone 5). This article shows that the multifaceted HAI aversion plan is gainful. The results stress the importance of keeping current investments in the prevention of HAI.
White, L.A., Brent, K., Eherenman, H., and Vance, C. Infection Prevention and Quality Coordinators Collaborating to Decrease Central Line Associated Blood Stream Infections (CLABSI) by Monitoring Central Line Catheter Maintenance…43rd Annual Conference Abstracts, APIC 2016, Charlotte, NC June 2016. American Journal of Infection Control, Vol. 44, 2016, S94–S95. https://doiorg.lopes.idm.oclc.org/10.1016/j.ajic.2016.04.120
The article illustrates that catheter-associated bloodstream infections (CLABSI) are linked to the high number of morbidity, death, cost and the length of stay. The study in this article aims to determine whether using resources that are from other departments carry out intermediate line management scrutiny would lead to increased rates of CLABSI. Within this article, CLABSI monthly rates with and without mucosal barrier injury were evaluated to pursue the progress and establish the success of the interventions implemented. Findings from the report show that CLABSI avoidance measures can positively influence rates in the bone marrow transplant population. (White, Brent, Eherenman and Vance s95).
Karin Cooney-Newton, Kortney Lagasse, Amy Llewellyn, Kristen Hover, and Jill Kane. EB148 Reduction of Central Catheter-Associated Bloodstream Infection (CLABSI) Rate Due to Culture Change. Critical Care Nurse, Vol. 35 No. 2, 2015, e74-5. https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103778991&site=eds-live&scope=site
In this article, explanation on why infections associated with healthcare are a costly and mostly preventable occurrence. The Healthcare Research and Quality agency has put to task state hospitals to lower central catheter-associated bloodstream infection, CLABSI to rates of one per a thousand primary catheter days. The evaluations in this article show that the CLABSI rate has come to zero as from July. Other than the infection rates decreasing to levels that are below national standards, the whole view to central catheters has also changed. (Newton, Lagasse, Llewellyn, Hover and Kane, e75).
Benjamin Woodward, and Reba Umberger. Review of Best Practices for CLABSI Prevention and the Impact of Recent Legislation on CLABSI Reporting. SAGE Open, Vol. 6. No 4, 2016. https://doiorg.lopes.idm.oclc.org/10.1177/2158244016677747
The article shows how central line-associated infections (CLABSI) are a common cause of the healthcare-associated infection (HAI). Cases of CLABSI have dropped mainly due to the efforts of healthcare providers. Future research will be centered on tackling the gap in what describes a CLABSI and if the programs to give hospitals incentives to lower CLABSI rates are reliable. This article concludes that even though it may seem unlikely that the world will get rid of these deadly infections, reasonable and economic improvements can still be made to tackle them. CLABSI research involves the prevention, advancement, finding and accounting of CLABSIs. (Woodward and Umberger par 21). Limitation of this article is that the review was restricted in scope and didn’t evaluate studies that focused on risk factors that were patient-specific, for example, the increasing vulnerability to infections because of immunosuppression.
Sandoval, Cass Piper. Three practice bundles to reduce CLABSIs. American Nurse Today, Vol. 10 No. 11, 2015, 37–38. https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111319130&site=eds-live&scope=site
The article discusses how healthcare-acquired infections (HAIs) continue to remain a significant problem for many hospitals, even after a decade of improvement focused efforts that use evidence-based guidelines. Mortality ranges from 12% to 25% for one type of HAI of CLABSI which are costly for hospitals when patients extend their stays. This article talks about the essential practice bundles that have enabled the achievement of the current success and points out some interventions past the packages, which may lead to a further decrease in CLABSIs. These CLABSI bundles are divided into three categories which include, insertion, maintenance, and patency. (Sandoval 37).
Webster, Joan, Emily Larsen, Nicole M, Marsh, Ayesha Choudhury, Patrick N. Harris, and Claire Rickard. Chlorhexidine gluconate or polyhexamethylene biguanide disc dressing to reduce the incidence of central-line-associated bloodstream infection: a feasibility randomized controlled trial (the CLABSI trial). Journal of Hospital Infection, Vol. 96, 2017, 223–228. https://doiorg.lopes.idm.oclc.org/10.1016/j.jhin.2017.04.009
The article discusses how marketing is done for various antimicrobial-impregnated discs to thwart central-line associated bloodstream infection. It is however not clear the type of drive that is most effective. This article aims to explore the feasibility and safety of relating two antimicrobial-impregnated discs to avert CLABSI. The methods used dedicated parallel group, single center and a randomized controlled trial which was done in a 929-bed tertiary referral hospital. The outcomes of the feasibility comprised of numbers of likely qualified candidates who were enrolled, the number of violations in protocol and fraction of the patients lost in the record. The findings were that from the 143 patients who were screened, 101 were found to be eligible with five declining participation. No post-randomization exclusion was seen, and no patients were lost to follow up. (Webster, Larsen, Marsh, Choudhury, Harris & Rickard 225). The conclusion is that discs that contain PHMB dressing are safe for use in infection thwarting at the catheter infection site.
Works Cited
Benjamin Woodward, and Reba Umberger. Review of Best Practices for CLABSI Prevention and the Impact of Recent Legislation on CLABSI Reporting. SAGE Open, Vol. 6. No 4, 2016. https://doi-org.lopes.idm.oclc.org/10.1177/2158244016677747
Dick, Andrew W., Eli N. Perencevich, Monica Pogorzelska-Maziarz, Jack Zwanziger, Elaine L. Larson, and Patricia W. Stone. A decade of investment in infection prevention: A cost-effectiveness analysis. American Journal of Infection Control, Vo. 43 No. 1, 2015, 4–9. https://doi-org.lopes.idm.oclc.org/10.1016/j.ajic.2014.07.014
Grigonis, Antony. M., Amanda M. Dawson, Mary Burkett, Arthur Dylag, Matthews Sears, and Betty Helber. Use of a Central Catheter Maintenance Bundle in Long-Term Acute Care Hospitals. American Journal of Critical Care, Vol. 25 no. 2, 2016. 165–172. https://doi-org.lopes.idm.oclc.org/10.4037/ajcc2016894https://lopes.idm.oclc.org/login
Karin Cooney-Newton, Kortney Lagasse, Amy Llewellyn, Kristen Hover, and Jill Kane. EB148 Reduction of Central Catheter-Associated Bloodstream Infection (CLABSI) Rate Due to Culture Change. Critical Care Nurse, Vol. 35 No. 2, 2015, e74-5. https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103778991&site=eds-live&scope=site
Pangan, Abagail, and Eileen Finerty A. Eliminating Central Line-associated Blood Stream Infection (CLABSI) on Patients Admitted with Central Lines Through Systematic Assessment and Line Maintenance. American Journal of Infection Control. 2017. https://doi-org.lopes.idm.oclc.org/10.1016/j.ajic.2017.04.159
Sandoval, Cass Piper. Three practice bundles to reduce CLABSIs. American Nurse Today, Vol. 10 No. 11, 2015, 37–38. https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111319130&site=eds-live&scope=site
Webster, Joan, Emily Larsen, Nicole M, Marsh, Ayesha Choudhury, Patrick N. Harris, and Claire Rickard. Chlorhexidine gluconate or polyhexamethylene biguanide disc dressing to reduce the incidence of central-line-associated bloodstream infection: a feasibility randomized controlled trial (the CLABSI trial). Journal of Hospital Infection, Vol. 96, 2017, 223–228. https://doi-org.lopes.idm.oclc.org/10.1016/j.jhin.2017.04.009
White, L.A., Brent, K., Eherenman, H., and Vance, C. Infection Prevention and Quality Coordinators Collaborating to Decrease Central Line Associated Blood Stream Infections (CLABSI) by Monitoring Central Line Catheter Maintenance…43rd Annual Conference Abstracts, APIC 2016, Charlotte, NC June 2016. American Journal of Infection Control, Vol. 44, 2016, S94–S95. https://doiorg.lopes.idm.oclc.org/10.1016/j.ajic.2016.04.120
