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CLABSI Summary

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The prevention and elimination of CLABSI in hospitals, specially in critical care units, have being a problem for many years. New research and strategies have been performed, however, CLABSI rates have remained at unacceptable levels. The purpose of this research is to demonstrate that the use of an antimicrobial PICC will decrease the incidence of PICC-associated CLABSI rate for the acute and critical care environments of hospitals. On 2014, “The Influence of an Antimicrobial Peripherally Inserted Central Catheter on Central Line-Associated Bloodstream Infections in a Hospital Environment” by Glenell S. Rutkoff, MSN, RN, CGRN, was published on JAVA on 2014.
To complete this study the author used a quasiexperimental design, consisting of 1 intervention group and 1 historical control group. The setting was …show more content…

PICC-related bloodstream infections were found less frequently in patients with the antimicrobial PICC. The nonintervention group had a total of 8 CLABSIs (rate ¼ 4.18/1,000 catheter days). There was 1 CLABSI (rate ¼ 0.47/1,000 catheter days) in the intervention group. Along the course of the study there were limitations affecting its applicability. For example, the 2 study groups were not fully comparable with respect to underlying conditions or admitting diagnosis that might have predisposed the patients to CLABSI. The variables collected on each diagnosis varied greatly between patients and did not offer a pattern to code effectively for known CLABSI risk factors. The quasiexperimental design could only provide evidence of probability. The retrospective data for the nonintervention group was another limitation. In addition, the inability of the researcher to determine the significance of nursing compliance with maintenance practices could have introduced bias into this

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