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Central line associated bloodstream ...

Peace, Donald M.

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Central line associated bloodstream infections in South Carolina: A correlational study of bed capacity, surveillance techniques, and therapeutic processes.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Central line associated bloodstream infections in South Carolina: A correlational study of bed capacity, surveillance techniques, and therapeutic processes./
Author:	Peace, Donald M.
Description:	208 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-06, Section: B, page: .
Contained By:	Dissertation Abstracts International72-06B.
Subject:	Health Sciences, General. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3449355
ISBN:	9781124563145

Central line associated bloodstream infections in South Carolina: A correlational study of bed capacity, surveillance techniques, and therapeutic processes.
Peace, Donald M.

Central line associated bloodstream infections in South Carolina: A correlational study of bed capacity, surveillance techniques, and therapeutic processes. - 208 p.

Source: Dissertation Abstracts International, Volume: 72-06, Section: B, page: .

Thesis (Ph.D.)--Capella University, 2011.

Central line associated bloodstream infections (CLABSI) is a concern for healthcare providers, hospital administrators, third party payers and the patient. This research determined what surveillance practices and therapeutic regimes were effective to ameliorate the incidence of hospital-acquired infections associated with central line catheters. Effective surveillance and therapeutic best practice strategies offer the greatest means of minimizing infections for patients in acute care hospitals that require central lines. Infection control programs are important for CLABSI prevention by developing clinical strategies that modify risk factors. Prevention strategies typically cost very little but make a significant impact on CLABSI. A quantitative research design with a correlational approach to conduct the study is demonstrated in this dissertation. The study compared samples of all reported CLABSI cases in the study population with bed capacities of 50 or less, 51 to 200, 201 to 500, and 501 or more beds from January 1, 2008 through December 31, 2008. Multivariate Analysis of Variance (MANOVA) was employed since more than one dependent variable existed in the study. In conclusion, active surveillance programs in conjunction with therapeutic regimes as observed with bundle packaging were proven effective adjuncts to care for those requiring central lines. The integration of multiple therapeutic measures used in central line bundling was associated with lower infection rates when compliance of use was high. This research determined that hospitals must target bundled implementation and compliance as opposed to integrating policies on infection control. Results identified that of the 63 acute care hospitals, the mean CLABSI rate was 6.62 per 1000 central line days with a Standardized Infection Rate (SIR) of 1.0004 for hospitals with 50 beds or less. Infection rates of 3.93 and a SIR of 2.981 was seen in hospitals of 51 to 200 beds, infection rates of 2.55 and a SIR of .9981 in hospitals of 201 to 500 beds and infection rates of 4.21 and a SIR of .9996 in hospitals with greater than 500 beds. Larger facilities had more resources human, material, and policy and reflected the best infection rate and lowest SIRs that revealed lower CLABSI incidences.

ISBN: 9781124563145Subjects--Topical Terms:

1017817
Health Sciences, General.

Central line associated bloodstream infections in South Carolina: A correlational study of bed capacity, surveillance techniques, and therapeutic processes.
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245 1 0 $a Central line associated bloodstream infections in South Carolina: A correlational study of bed capacity, surveillance techniques, and therapeutic processes.
300 $a 208 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-06, Section: B, page: .
500 $a Adviser: Rosslynn S. Byous.
502 $a Thesis (Ph.D.)--Capella University, 2011.
520 $a Central line associated bloodstream infections (CLABSI) is a concern for healthcare providers, hospital administrators, third party payers and the patient. This research determined what surveillance practices and therapeutic regimes were effective to ameliorate the incidence of hospital-acquired infections associated with central line catheters. Effective surveillance and therapeutic best practice strategies offer the greatest means of minimizing infections for patients in acute care hospitals that require central lines. Infection control programs are important for CLABSI prevention by developing clinical strategies that modify risk factors. Prevention strategies typically cost very little but make a significant impact on CLABSI. A quantitative research design with a correlational approach to conduct the study is demonstrated in this dissertation. The study compared samples of all reported CLABSI cases in the study population with bed capacities of 50 or less, 51 to 200, 201 to 500, and 501 or more beds from January 1, 2008 through December 31, 2008. Multivariate Analysis of Variance (MANOVA) was employed since more than one dependent variable existed in the study. In conclusion, active surveillance programs in conjunction with therapeutic regimes as observed with bundle packaging were proven effective adjuncts to care for those requiring central lines. The integration of multiple therapeutic measures used in central line bundling was associated with lower infection rates when compliance of use was high. This research determined that hospitals must target bundled implementation and compliance as opposed to integrating policies on infection control. Results identified that of the 63 acute care hospitals, the mean CLABSI rate was 6.62 per 1000 central line days with a Standardized Infection Rate (SIR) of 1.0004 for hospitals with 50 beds or less. Infection rates of 3.93 and a SIR of 2.981 was seen in hospitals of 51 to 200 beds, infection rates of 2.55 and a SIR of .9981 in hospitals of 201 to 500 beds and infection rates of 4.21 and a SIR of .9996 in hospitals with greater than 500 beds. Larger facilities had more resources human, material, and policy and reflected the best infection rate and lowest SIRs that revealed lower CLABSI incidences.
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