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Central Line-Associated Bloodstream Infection Prevention by Central Venous Catheter Management Staff in the Surgical Intensive Care Unit
외과계 중환자실에서 중심정맥관 관련 혈류감염을 예방하기 위한 중심정맥관 관리 전담자 도입
J Acute Care Surg 2018;8:65−70
Published online October 30, 2018;  https://doi.org/10.17479/jacs.2018.8.2.65
© 2018 Korean Society of Acute Care Surgery.

Jin-Uk Choi, M.D.*, Nak-Jun Choi, M.D.*, Suk-Kyung Hong, M.D., Ph.D.*, Tae-Hyun Kim, M.D.*, Min Ae Keum, M.D., Se Ra Kim, Sun Ju Lee, Sung-Dae Shin
최진욱, 최낙준, 홍석경, 김태현, 금민애, 김세라, 이선주, 신성대

*Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Department of Critical Care Nursing, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Nak-Jun Choi, M.D.
Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: +82-2-3010-1824
Fax: +82-2-474-6701
E-mail: eks7957@naver.com
ORCID: http://orcid.org/0000-0002-7390-4364
Received September 29, 2017; Revised October 16, 2017; Accepted October 23, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Patients in the intensive care unit (ICU) are more susceptible to nosocomial infections, including central line-associated bloodstream infection (CLABSI), surgical site infection, urinary tract infection or ventilator-associated pneumonia. This study is a comparative analysis of how central venous catheter (CVC) management staff affects CLABSI.
Methods: We performed a two-phase review of all patients transferred to the surgical ICU (SICU) from January 2013 to June 2014. CVC management staff was introduced in October 2013. Electronic medical records provided the data for a comparative analysis of incidence rates and risks of CLABSI, as well as the subjects’ general characteristics.
Results: This study included 248 patients before the introduction of a CVC management staff member and 196 patients after the introduction. General patient characteristics before and after the CVC management staff was in place did not differ significantly. The CLABSI rate decreased by 4.61 cases/1,000 device days after the introduction (6.26 vs. 1.65; odds ratio, 4.47; 95% confidence interval, 1.39∼14.37; p=0.009). However, the mortality rate and length of ICU stay did not change after CVC management staff was in place (12.9% vs. 10.7%, p=0.480; 16.00±24.89 vs. 15.87±18.80, p=0.954; respectively).
Conclusion: In this study, the introduction of CVC management staff effectively reduced CLABSI rates in current ICU system.
Keywords : Central venous catheters, Infection, Prevention


October 2018, 8 (2)
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