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Effectiveness of Surveillance of Central Catheter-Related Bloodstream Infection in an ICU in Korea

Published online by Cambridge University Press:  02 January 2015

Sunmi Yoo ,
Mina Ha ,
Daeok Choi  and
Hyunjoo Pai
Sunmi Yoo
Affiliation:
Departments of Family Medicine, Preventive Medicine, and Internal Medicine, Dankook University Medical College
Mina Ha
Affiliation:
Departments of Family Medicine, Preventive Medicine, and Internal Medicine, Dankook University Medical College
Daeok Choi
Affiliation:
Hospital Infection Control Team, Dankook University Hospital
Hyunjoo Pai*
Affiliation:
Departments of Family Medicine, Preventive Medicine, and Internal Medicine, Dankook University Medical College
*
Department of Internal Medicine, Dankook University Medical College, San 29 Anseo-dong Cheonan city ChungNam (330-715), Republic of Korea
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Abstract

Objective:

To determine whether surveillance and infection control interventions decrease the incidence of catheter-related (CR) bloodstream infections (BSIs) in Korea.

Setting:

A medical-surgical intensive care unit (ICU) of a university hospital in Korea.

Design:

The CR infection rate of the intervention period was compared to that of historical controls for a 4-month period.

Patients:

All patients with a central venous catheter in the intensive care unit (ICU) from October 1998 to January 1999.

Methods:

Active infection control programs were initiated during the intervention period. Data collected included patient characteristics, risk factors of CR infection, and the microbiology laboratory results. Laboratory-proven CR infection rates were compared between the intervention group and control group.

Results:

304 catheters were inserted into 248 patients. The intervention group and the control group showed similar characteristics, but more patients in the intervention group received steroid therapy, and subclavian insertion was more common in the intervention group. CR BSI occurred in 1.3 per 1,000 catheter-days in the intervention group and 4.2 in the control group (binomial test, P=.14). CR infections were associated with the duration of ICU admission by multivariate logistic regression.

Conclusions:

The data suggested that an active infection surveillance and control program could reduce the rate of CR BSI in an ICU.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 22 , Issue 7 , July 2001 , pp. 433 - 436
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

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References

1.Emori, TG, Gaynes, RP. An overview of nosocomial infections, including the role of the microbiology laboratory. Clin Microbiol Rev 1993;6:428–442.CrossRefGoogle ScholarPubMed
2.Korean Hospital Infection Control Survey Committee. 1996 National Nosocomial Infection Surveillance in Korea. Korean Journal of Nosocomial Infection Control 1997;2:157–176.Google Scholar
3.Haley, RW, Culver, DJ, White, JW, Morgan, M, Emori, TG, Munn, VP, et al.The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182–205.CrossRefGoogle ScholarPubMed
4.Hospital Infection Control Practices Advisory Committee. Guideline for prevention of intravascular device-related infections, II: recommendations for the prevention of nosocomial intravascular device-related infections. Am J Infect Control 1996;24:277–293.Google Scholar
5.Maki, DG, Weise, CE, Sarafin, HW. A semiquantitative culture for identifying intravenous-catheter-related infection. N Engl J Med 1977;296:1305–1309.Google Scholar
6.Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988;16:128–140.Google Scholar
7.Pearson, ML, Hospital Infection Control Practices Advisory Committee. Guideline for prevention of intravascular device-related infections, I: intravascular device-related infections: an overview. Am J Infect Control 1996;24:262–277.Google Scholar
8.Haley, RW, Quade, D, Freeman, HE, Bennett, JV, the CDC SENIC Planning Committee. The SENIC Project: Study on the Efficacy of Nosocomial Infection Control. Am J Epidemiol 1985;111:472–485.Google Scholar
9.Korean Hospital Infection Control Survey Committee. National survey on the current status of nosocomial infection control in Korea. Korean Journal of Nosocomial Infection Control 1997;2:177–202.Google Scholar
10.Sheretz, RJ. Surveillance for infections associated with vascular catheters. Infect Control Hosp Epidemiol 1996;17:746–752.Google Scholar
11.Scheckler, WE. Surveillance, foundation for the future: a historical overview and evolution of methodologies. Am J Infect Control 1997;25:106–111.CrossRefGoogle ScholarPubMed