Electronic ISSN 2287-0237

VOLUME

INFECTION CONTROL FOR THE REDUCTION OF CATHETER RELATED BLOOD STREAM INFECTION (CRBSI)

FEBRUARY 2012 - VOL.3 | ORIGINAL ARTICLE
OBJECTIVE .

The purpose of this research was to reduce rate of CRBSI at Bangkok Hospital by using 2002 CDC evidence-based guidelines as a preventive of CRBSI.1

MATERIALS AND METHODS.

A target surveillance on CRBSI was conducted in all 4 adult intensive care units at the Bangkok Hospital. The findings were compared with the CDC recommendations.Then we set up a multidisciplinary patient-care project team who applied the CDC guidelines in order to work towards the reduction and eventual prevention of CRBSI’s in our hospital.

RESULTS.

The reduction of CRBSI incidence was observed to be sustainable after the new guidelines were implemented in October 2004. The rate of CRBSI incidence reduced gradually especially in the year of 2010. It approached to zero per 1000 catheter-day.

CONCLUSION.

Nowadays,  all  healthcare  personnel  must  take responsibility for preventing nosocomial infection. We has demon strated that our multidisciplinary team can reduce the infection rates sharply.

Keywords:

Nosocomial infection, CRBSI, Catheter Related Blood Stream Infection

MEDIA
Table 1:
Summarized physician’s performance during central venous catheter (CVC) insertion compared to the CDC new guidelines for CRBSI prevention
Figure 1:
Guideline of the new standard of central venous insertion kit
Figure 2:
7-day-colour-coded sticker for timely changes of intravenous catheter and dressing
Figure 3:
Graph shows Catheter Related Blood Stream Infection Rate of Bangkok Hospital in the year of 2004.
Figure 4:
Graph shows surveillance compliance for caring central venous catheter project. The performance improved yearly as can be seen.
Figure 5:
Graph shows Catheter Related Blood Stream Infection/1000 catheter-day in 2004-2010.
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