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The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies.
These data, based on prospective studies of adults, show that all types of IVDs pose a risk of IVD-related BSI and can be used for benchmarking rates of infection caused by the various types of intravascular devices in use at the present time.
A semiquantitative culture method for identifying intravenous-catheter-related infection.
The semiquantitative technic distinguishes infection (greater than or equal to 15 colonies) from contamination and is more specific in diagnosis of catheter-related septicemia than culture of the catheter in broth.
Guidelines for the Prevention of Intravascular Catheter–Related Infections
- N. O’grady, M. Alexander, R. Weinstein
- MedicineInfection Control & Hospital Epidemiology
- 9 August 2002
Examples of evidence-based interventions that can reduce the risk for serious catheter-related infection are education and training, maximal sterile barrier precautions, and 2% chlorhexidine preparation for skin antisepsis.
Engineering out the risk for infection with urinary catheters.
Novel urinary catheters impregnated with nitrofurazone or minocycline and rifampin or coated with a silver alloy-hydrogel exhibit antiinfective surface activity that significantly reduces the risk of CAUTI for short-term catheterizations not exceeding 2-3 weeks.
Risk factors for infusion-related phlebitis with small peripheral venous catheters. A randomized controlled trial.
The use of peripheral intravenous catheters made of PEU-Vialon appears to pose the same risk for catheter-related infection as the use of catheter made of FEP-Teflon, and PEu- Vialon can permit longer cannulation with less risk for phlebitis.
The safety and efficacy of daptomycin for the treatment of complicated skin and skin-structure infections.
- R. Arbeit, D. Maki, F. Tally, Ed Campanaro, B. Eisenstein
- Medicine, BiologyClinical infectious diseases : an official…
- 15 June 2004
The safety and efficacy of daptomycin were comparable with conventional therapy, and the frequency and distribution of adverse events were similar among both treatment groups.
The pathogenesis of ventilator-associated pneumonia: its relevance to developing effective strategies for prevention.
Routine surveillance of VAPs is mandatory, and high-risk patients, especially those with prolonged granulocytopenia or organ transplants, should be cared for in hospital units with high-efficiency-particulate-arrestor filtered air.
Device-Associated Nosocomial Infections in 55 Intensive Care Units of 8 Developing Countries
Device-associated infections, particularly ventilator-associated pneumonia, central venous catheterrelated bloodstream infections, and catheter-associated urinary tract infections pose the greatest threat to patient safety in the ICU, according to the initial findings of an International Nosocomial Infection Control Consortium (INICC) surveillance study.
Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America
A task force of 11 experts in the disciplines related to critical care medicine and infectious diseases concluded that, because fever can have many infectious and noninfectious etiologies, a new fever in a patient in the intensive care unit should trigger a careful clinical assessment rather than automatic orders for laboratory and radiologic tests.