Prevention of peripherally inserted central catheter-related infections in very low-birthweight infants by using a central line bundle guideline with a standard checklist

作     者：Chen Yuan Qing Zhao Xiaoyan Song Fei Meng 

作者机构：Qingdao Center Medical GroupQingdaoShandong ProvinceChina 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2016年第3卷第1期

页      面：50-53页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：This project was funded by the National Natural Science Foundation of China(NSFC:81171774 81272056) 

主　　题：Central line bundle Checklist Very low birth weight infant PICC Catheter related infection 

摘      要：Objective:To investigate the effectiveness and feasibility of using a central line bundle(CLB)guideline with a standard checklist in the prevention of peripherally inserted central catheter(PICC)-related infections(CRIs)in very low-birth-weight infants(VLBWIs).Methods:Fifty-seven VLBWIs who underwent PICC insertion at a hospital in Qingdao,China,between November 2012 and June 2013,were monitored with the CLB guideline and a standard ***-three VLBWIs who underwent PICC insertion were monitored by standard hospital *** incidence of CRIs was compared between the two ***:The incidence of infection significantly decreased from 10.0%catheter days in the control group to 2.2%catheter days in the study group(p0.05).The indwelling catheter time significantly increased in the study group compared to the control group(31.9±15.0days vs.24.8±7.4 days,respectively,p0.05).Colonization infections also decreased from 6.9% catheter days in the control group to 2.2%catheter days in the study group(p0.05).The incidence of catheter-related bloodstream infections decreased from 3.1%catheter days in the control group to 0%catheter days in the study ***:The use of a CLB guideline with a standard checklist could be an effective and feasible protocol for preventing CRIs and prolonging indwelling catheter timein VLBWIs.