keyword
Keywords "Central Line" OR "Central Ven...

"Central Line" OR "Central Venous Line"

https://read.qxmd.com/read/38535577/-staphylococcus-capitis-central-line-associated-bloodstream-infections-in-the-neonatal-intensive-care-unit-a-single-center-four-year-experience-in-central-line-management-during-sepsis-treatment
#1
JOURNAL ARTICLE
Anna Sala, Valentina Pivetti, Alessandra Vittorini, Claudia Viggiano, Francesca Castoldi, Valentina Fabiano, Gianluca Lista, Francesco Cavigioli
Coagulase-negative staphylococci (CoNS) are reportedly responsible for 50-60% of bloodstream infections in very preterm (<1500 g) infants in neonatal intensive care units (NICUs). Staphylococcus capitis is an increasingly prevalent pathogen in the neonatal setting, frequently causing central-line-associated bloodstream infections (CLABSIs) that can be difficult to eradicate. Central venous catheter (CVC) removal versus in situ treatment with CoNS CLABSIs is a controversial treatment strategy with no clear consensus...
March 7, 2024: Pathogens
https://read.qxmd.com/read/38521193/assessment-of-the-clot-children-s-likelihood-of-thrombosis-real-time-risk-prediction-model-of-hospital-associated-venous-thromboembolism-in-children-with-congenital-heart-disease
#2
JOURNAL ARTICLE
Sudeep D Sunthankar, Ryan P Moore, Daniel W Byrne, Henry J Domenico, Allison P Wheeler, Shannon C Walker, Prince J Kannankeril
BACKGROUND: Children with congenital heart disease (CHD) are at high risk for hospital-associated venous thromboembolism (HA-VTE). The Children's Likelihood of Thrombosis (CLOT) trial validated a real-time predictive model for HA-VTE using data extracted from the EHR for pediatric inpatients. We tested the hypothesis that addition of CHD specific data would improve model prediction in the CHD population. METHODS: Model performance in CHD patients from 2010-2022, was assessed using three iterations of the CLOT model: 1) the original CLOT model, 2) the original model refit using only data from the CHD cohort, and 3) the model updated with the addition of cardiopulmonary bypass time, STAT mortality category, height, and weight as covariates...
March 21, 2024: American Heart Journal
https://read.qxmd.com/read/38511236/a-quality-improvement-initiative-to-increase-skin-to-skin-care-duration-in-preterm-neonates
#3
JOURNAL ARTICLE
Palanikumar Balasundaram, Melissa Frascone, Samantha Wnukowski, Alana G Murphy, Jillian Connors
BACKGROUND: Skin-to-skin (STS) care effectively improves neonatal outcomes, particularly for preterm neonates. However, utilization of STS remains suboptimal for the most vulnerable preterm neonates in the first 4 weeks of life. This quality improvement (QI) project aimed to increase STS duration for neonates under 35 weeks gestation. METHODS: The QI initiative was conducted in a 35-bed level IV NICU within a teaching hospital in New York City from July 2021 to January 2023...
April 1, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38510847/the-effect-of-taurolidine-on-the-time-to-positivity-of-blood-cultures
#4
JOURNAL ARTICLE
C H van den Bosch, J E P Moree, S Peeters, M Lankheet, A F W van der Steeg, M H W A Wijnen, M D van de Wetering, J T van der Bruggen
BACKGROUND: Taurolidine containing lock solutions (TL) are a promising method for the prevention of central line associated bloodstream infections. Per accident, the TL may not always be aspirated from the central venous catheter (CVC) before blood cultures are obtained. The TL could, unintentionally, end up in a blood culture vial, possibly altering the results. The aim of this study was to investigate the effect of the TLs on the detection of microbial growth in blood culture vials...
June 2024: Infection prevention in practice
https://read.qxmd.com/read/38505940/comparative-epidemiology-of-hospital-onset-bloodstream-infections-hobsis-and-central-line-associated-bloodstream-infections-clabsis-across-a-three-hospital-health-system
#5
JOURNAL ARTICLE
Jay Krishnan, Erin B Gettler, Melissa Campbell, Ibukunoluwa C Kalu, Jessica Seidelman, Becky Smith, Sarah Lewis
OBJECTIVE: To evaluate the comparative epidemiology of hospital-onset bloodstream infection (HOBSI) and central line-associated bloodstream infection (CLABSI). DESIGN AND SETTING: Retrospective observational study of HOBSI and CLABSI across a three-hospital healthcare system from 01/01/2017 to 12/31/2021. METHODS: HOBSIs were identified as any non-commensal positive blood culture event on or after hospital day 3. CLABSIs were identified based on National Healthcare Safety Network (NHSN) criteria...
March 20, 2024: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/38499191/prophylactic-treatment-of-children-with-hemophilia-in-sweden
#6
JOURNAL ARTICLE
Rolf Ljung
Hemophilia A/B are caused by deficiency or lack of coagulation factors VIII (FVIII) or factor IX (FIX), respectively, in plasma. A person with hemophilia develops bleeding in the joints and muscles at an early age, which, if left untreated, leads to early arthropathy. Preventive treatment can be achieved by regular (prophylactic) administration of FVIII/FIX. In 1958, this was implemented on a small scale in Sweden with FVIII in patients with severe hemophilia A, and in those with hemophilia B in 1972 when FIX became available...
March 18, 2024: Seminars in Thrombosis and Hemostasis
https://read.qxmd.com/read/38492986/infection-control-measure-performance-in-long-term-care-hospitals-and-their-relationship-to-joint-commission-accreditation
#7
JOURNAL ARTICLE
Stephen P Schmaltz, Beth A Longo, Scott C Williams
BACKGROUND: This study evaluated the relationship between Joint Commission accreditation and health care-associated infections (HAIs) in long-term care hospitals (LTCHs). METHODS: This observational study used Centers for Medicare & Medicaid Services (CMS) LTCH data for the period 2017 to June 2021. The standardized infection ratio (SIR) of three measures used by the Centers for Disease Control and Prevention's National Healthcare Safety Network were used as dependent variables in a random coefficient Poisson regression model (adjusting for CMS region, owner type, and bed size quartile): catheter-associated urinary tract infections (CAUTIs), Clostridioides difficile infections (CDIs), and central line-associated bloodstream infections (CLABSIs) for the periods 2017 to 2019 and July 1, 2020, to June 30, 2021...
February 16, 2024: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/38490489/hospital-acquired-bloodstream-infections-in-cancer-patients-current-knowledge-and-future-directions
#8
REVIEW
Aleece MacPhail, Claire Dendle, Monica Slavin, Zoe McQuilten
Cancer patients experience higher rates of preventable harm from hospital acquired bloodstream infection (haBSI) and central line associated bloodstream infections (CLABSI) than the general hospital population. Prevention of haBSI and CLABSI in cancer patients is an urgent priority and requires standardised surveillance and reporting efforts. The application of haBSI and CLABSI definitions, classification systems and surveillance strategies for cancer patients is complex and there is wide variation in clinical practice...
March 13, 2024: Journal of Hospital Infection
https://read.qxmd.com/read/38483930/characterizing-patients-presenting-on-hospital-admission-with-central-line-associated-bloodstream-infections-a-multicenter-study
#9
JOURNAL ARTICLE
Opeyemi Oladapo-Shittu, Sara E Cosgrove, Clare Rock, Yea-Jen Hsu, Eili Klein, Anthony D Harris, Carlos Mejia Chew, Heather Saunders, Patrick R Ching, Avi Gadala, Stephanie Mayoryk, Lisa Pineles, Lisa Maragakis, Alejandra Salinas, Taylor Helsel, Sara C Keller
BACKGROUND: There are no systematic measures of central line-associated bloodstream infections (CLABSIs) in patients maintaining central venous catheters (CVCs) outside acute care hospitals. To improve understanding of the burden of CLABSIs outside acute care hospitals, we characterized patients with CLABSI present on hospital admission (POA). METHODS: Retrospective cross-sectional analysis of patients with CLABSI-POA in three health systems covering eleven hospitals across Maryland, Washington DC, and Missouri from November 2020 to October 2021...
March 14, 2024: Clinical Infectious Diseases
https://read.qxmd.com/read/38483776/effect-of-infusion-set-replacement-intervals-on-central-line-associated-bloodstream-infection-in-the-intensive-care-unit-study-protocol-of-the-inspiration-study
#10
JOURNAL ARTICLE
Dandan Xu, Chang Hu, Jie Xiong, Haiyan Huang, Shasha Wang, Xinbo Ding, Junying Zhou, Juan Deng, Chunling Guo, Miqi Li, Ting You, Wei Cheng, Bo Li, Xiaoqin Tang, Xiaohong Li, Hongmei Li, Jin Li, Jing Ma, Meng Xiao, Xing Fu, Huilin Li, Zhiyong Peng, Bo Hu, Fen Hu
INTRODUCTION: The replacement intervals for infusion sets may differ among healthcare institutions, which may have an impact on the occurrence of central line-associated bloodstream infections (CLABSI). Nevertheless, there exists a limited amount of high-quality evidence available to assist clinicians in determining the most suitable replacement intervals for infusion sets. Therefore, the objective of this trial is to compare the efficacy of 24-h and 96-h replacement intervals for infusion sets on CLABSI among critically ill adults who have central venous access devices...
March 14, 2024: Infectious Diseases and Therapy
https://read.qxmd.com/read/38483430/assisting-the-infection-preventionist-use-of-artificial-intelligence-for-health-care-associated-infection-surveillance
#11
JOURNAL ARTICLE
Timothy L Wiemken, Ruth M Carrico
BACKGROUND: Health care-associated infection (HAI) surveillance is vital for safety in health care settings. It helps identify infection risk factors, enhancing patient safety and quality improvement. However, HAI surveillance is complex, demanding specialized knowledge and resources. This study investigates the use of artificial intelligence (AI), particularly generative large language models, to improve HAI surveillance. METHODS: We assessed 2 AI agents, OpenAI's chatGPT plus (GPT-4) and a Mixtral 8×7b-based local model, for their ability to identify Central Line-Associated Bloodstream Infection (CLABSI) and Catheter-Associated Urinary Tract Infection (CAUTI) from 6 National Health Care Safety Network training scenarios...
February 29, 2024: American Journal of Infection Control
https://read.qxmd.com/read/38479922/a-case-report-of-lactobacillus-bacteremia-in-a-patient-on-chronic-parenteral-nutrition
#12
JOURNAL ARTICLE
Hannah W Fiske, Breton Roussel, Marion Winkler, Benjamin Hall
BACKGROUND AND AIMS: Short bowel syndrome is a malabsorption disorder typically caused by the physical loss of a portion of the intestine, whereafter the body is unable to adequately absorb nutrients, fluids, and electrolytes. Many patients with short bowel syndrome are reliant on home parenteral nutrition through a tunneled or peripherally inserted central catheter to ensure sufficient hydration and nutrition. Central venous catheters are a nidus for bacteria, and patients are at risk for infections associated with high levels of morbidity and mortality...
April 2024: Clinical Nutrition ESPEN
https://read.qxmd.com/read/38471768/central-line-repair-in-pediatric-patients-in-the-pediatric-emergency-department-by-emergency-physicians-a-single-center-experience
#13
JOURNAL ARTICLE
Aluma Baer, Giora Weiser
INTRODUCTION: Central venous catheters are more common with advanced treatments for a variety of conditions. These catheters may need to be repaired after local damage. This has been performed by those more involved with catheter placement such as pediatric surgeons and interventional radiologists. Gastroenterologists who treat many of these patients have also been involved with catheter repair. Repair by pediatric emergency physicians has not been explored. Such repairs by the emergency physician may be time saving and avoid unnecessary admissions...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471259/data-quality-review-of-the-brazilian-nosocomial-infections-surveillance-system
#14
JOURNAL ARTICLE
Alice Ramos Silva, Nicolas Guedes Hoffmann, Fernando Fernandez-Llimos, Elisangela Costa Lima
BACKGROUND: Surveillance of healthcare-associated infections (HAIs) is an essential component of hospital infection prevention and control systems. We aimed to assess the quality of the data compiled by the Brazilian HAI Surveillance System from pediatric (PICUs) and neonatal intensive care units (NICUs), between 2012 and 2021. METHODS: Data Quality Review, including adherence, completeness, internal consistency, consistency over time, and consistency of population trend, were computed at both national and state levels based on quality metrics from World Health Organization Toolkit...
February 27, 2024: Journal of Infection and Public Health
https://read.qxmd.com/read/38467028/sprint-team-approach-yields-rapid-improvement-in-leapfrog-quality-indicators
#15
JOURNAL ARTICLE
Ghazala Q Sharieff, Craig Uejo
GOAL: Patient safety and quality care are two critical areas that every healthcare organization strives to grow and improve upon. At Scripps Health, specific efforts reviewed for this article were implemented to reduce hospital-acquired conditions and hospital readmissions that are components of Centers for Medicare & Medicaid Services programs and Leapfrog Hospital Survey scores. METHODS: Sprint teams, a novel approach to rapidly develop a checklist for lower-performing care improvement areas, were implemented after an internal review of existing tools and an evidence-based literature review...
March 2024: Journal of Healthcare Management / American College of Healthcare Executives
https://read.qxmd.com/read/38451061/catheter-salvage-from-central-line-related-bloodstream-infections-in-pediatric-intestinal-failure
#16
JOURNAL ARTICLE
Catherine Larson-Nath, Linder Wendt, Riad Rahhal
OBJECTIVES: Patients with intestinal failure require central venous access which puts them at risk for central line-associated bloodstream infections (CLABSI). Maintaining vascular patency is critical for this population to receive nutrition support. When CLABSIs occur line salvage can help maintain vascular access. The aim of this study is to assess factors associated with safe and successful central venous catheter salvage. METHODS: Retrospective cohort study of patients with intestinal failure at two tertiary care institutions between 2012 and 2020...
March 7, 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38450121/progressive-medical-simulation-an-analysis-of-the-integration-of-progressive-and-personalized-learning-in-central-line-simulators
#17
JOURNAL ARTICLE
Isra K Elsaadany, Jessica M Gonzalez-Vargas, Jason Z Moore, Scarlett R Miller
Progressive learning gradually increases task difficulty as students advance in their education. One area that can benefit from it is medical education since it can optimize medical trainees' skill acquisition. While progressive learning can allow for skill transfer to patient encounters, personalized learning increases the efficiency and effectiveness of learning. However, it is not well understood the number of practice trials needed to reach proficiency. To evaluate whether progressive and personalized learning can enhance medical trainees' learning gains, the learning interface of the Dynamic Haptic Robotic Trainer (DHRT) for Central Venous Catheterization was assessed...
September 2023: Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting
https://read.qxmd.com/read/38445156/fungemia-with-wickerhamomyces-anomalus-a-case-report-and-literature-review
#18
Yui Sakai, Toshibumi Taniguchi, Yoriko Herai, Misuzu Yahaba, Akira Watanabe, Katsuhiko Kamei, Hidetoshi Igari
We report the case of an 84-year-old man with a history of IgG4-related sclerosing cholangitis who was diagnosed with advanced esophageal cancer and underwent radiation and chemotherapy. An implantable central venous access port was placed for chemotherapy and total parenteral nutrition. The patient presented with a fever and received antimicrobial therapy for acute cholangitis but remained febrile, and subsequently, yeast was detected in the aerobic bottle of blood culture obtained from the central venous line...
February 2024: Curēus
https://read.qxmd.com/read/38433183/catheter-related-gas-forming-suppurative-thrombophlebitis
#19
JOURNAL ARTICLE
Yasuyoshi Miyamura, Takeshi Shimazaki, Kunihiko Okada
Catheter-related suppurative thrombophlebitis (CRST) is a complication of catheter-related bloodstream infection (CRBSI). The microbiology of CRST is similar with the microbiology of CRBSI, but Clostridium perfringens that causes gas gangrene is a rare pathogen of CRBSI and CRST. We present a case of catheter-related gas-forming suppurative thrombophlebitis due to Clostridium perfringens infection. Gas-forming thrombus around the catheter can be useful findings for the early diagnosis of catheter-related clostridial thrombophlebitis...
March 4, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38423134/the-impact-of-infection-prevention-and-control-practices-ipcs-including-personal-protective-equipment-ppe-on-the-prevalence-of-hospital-acquired-infections-hais-in-acute-care-hospitals-during-covid-19-a-systematic-review-and-meta-analysis
#20
JOURNAL ARTICLE
Judeil Krlan Teus, Lucinda Mithen, Heidi Green, Alison Hutton, Ritin Fernandez
BACKGROUND: The COVID-19 pandemic has posed an unprecedented challenge to healthcare systems globally. Personal protective equipment has played a fundamental role in protecting healthcare workers and patients, but its effectiveness in reducing hospital-acquired infections (HAIs) during the pandemic remains a subject of debate. OBJECTIVE: The aim of this systematic review is to conduct a synthesis and meta-analysis of the best available evidence of the prevalence of HAIs using a before/after approach...
February 27, 2024: Journal of Hospital Infection
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