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Introducing a nursing maintenance bundle for patients with pulmonary arterial catheters

Published online by Cambridge University Press:  21 October 2019

Michael A. Ben-Aderet Open the ORCID record for Michael A. Ben-Aderet [Opens in a new window] ,
Matthew J. P. Almario ,
Meghan S. Madhusudhan ,
Carissa Drucker ,
Jeffery Luria ,
Sneha Krishna ,
Laila Massie ,
Catherine Bresee ,
Alice Chan  and
Jimmy Nguyen
...Show all authors
Michael A. Ben-Aderet*
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Matthew J. P. Almario
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Meghan S. Madhusudhan
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Carissa Drucker
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Jeffery Luria
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Sneha Krishna
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Laila Massie
Affiliation:
Department of Nursing, Cedars-Sinai Medical Center, Los Angeles, California
Catherine Bresee
Affiliation:
Biostatistics and Bioinformatics Research Center, Cedars-Sinai Medical Center, Los Angeles, California
Alice Chan
Affiliation:
Department of Nursing, Cedars-Sinai Medical Center, Los Angeles, California
Jimmy Nguyen
Affiliation:
Department of Nursing, Cedars-Sinai Medical Center, Los Angeles, California
Rekha K. Murthy
Affiliation:
Department of Medical Affairs, Cedars-Sinai Medical Center, Los Angeles, California
Jonathan D. Grein
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
*
Author for correspondence: Michael A. Ben-Aderet, Email: Michael.Ben-Aderet@cshs.org
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Abstract

We undertook a quality improvement project to address challenges with pulmonary artery catheter (PAC) line maintenance in a setting of low-baseline central-line infection rates. We observed a subsequent reduction in Staphylococcal PAC line infections and a trend toward a reduction in overall PAC infection rates over 1 year.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 1 , January 2020 , pp. 113 - 115
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

Bloodstream infection event (central line-associated bloodstream infection and non–central-line-associated bloodstream infection). Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf. Updated January 2019. Accessed September 30, 2019.Google Scholar
O’Grady, NP, Alexander, M, Burns, LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011;52(9):e162–e193.CrossRefGoogle ScholarPubMed
Marschall, J, Mermel, LA, Fakih, M, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:753–771.CrossRefGoogle ScholarPubMed
Preventing central line–associated bloodstream infections: useful tools, an international perspective. The Joint Commission website. http://www.jointcommission.org/CLABSIToolkit, Published 2013. Accessed September 30, 2019.Google Scholar
Kac, G, Durain, E, Amrein, C, Herisson, E, Fiemeyer, A, Buu-Hoi, A. Colonization and infection of pulmonary artery catheter in cardiac surgery patients: epidemiology and multivariate analysis of risk factors. Crit Care Med 2001;29:971–975.CrossRefGoogle ScholarPubMed
Yetmar, Z, Lahr, B, O’Horo, J, Behfar, A, Sampathkumar, P, Beam, E. Pulmonary artery catheter epidemiology of risk in pre–heart-transplant recipients. Infect Control Hosp Epidemiol 2019;40:632–638.CrossRefGoogle ScholarPubMed
National Healthcare Safety Network. The NHSN standardized infection ratio (SIR). Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf. Updated March 2019. Accessed September 30, 2019.Google Scholar
Weiner, LM, Webb, AK, Limbago, B, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011–2014. Infect Control Hosp Epidemiol 2016;37:1288–1301.CrossRefGoogle Scholar