geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Education of physicians-in-training can decrease the risk for vascular catheter infection


, : Education of physicians-in-training can decrease the risk for vascular catheter infection. Annals of Internal Medicine 132(8): 641-648

Background: Procedure instruction for physicians-in-training is usually nonstandardized. The authors observed that during insertion of central venous catheters (CVCs), few physicians used full-size sterile drapes (an intervention proven to reduce the risk for CVC-related infection). Objective: To improve standardization of infection control practices and techniques during invasive procedures. Design: Nonrandomized pre-post observational trial. Setting: Six intensive care units and one step-down unit at Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina. Participants: Third-year medical students and physicians completing their first postgraduate year. Intervention: A 1-day course on infection control practices and procedures given in June 1996 and June 1997. Measurements: Surveys assessing physician attitudes toward use of sterile techniques during insertion of CVCs were administered during the baseline year and just before, immediately after, and 6 months after the first course. Preintervention and postintervention use of full-size sterile drapes was measured, and surveillance for vascular catheter-related infection was performed. Results: The perceived need for full-size sterile drapes was 22% in the year before the course and 73% 6 months after the course (P < 0.001). The perceived need for small sterile towels at the insertion site decreased reciprocally (P < 0.001). Documented use of full-size sterile drapes increased from 44% to 65% (P < 0.001). The rate of catheter-related infection decreased from 4.51 infections per 1000 patient-days before the first course to 2.92 infections per 1000 patient-days 18 months after the first course (average decrease, 3.23 infections per 1000 patient-days; P < 0.01). The estimated cost savings of this 28% decrease was at least dollar sign63 000 and may have exceeded dollar sign800 000. Conclusions: Standardization of infection control practices through a course is a cost-effective way to decrease related adverse outcomes. If these findings can be reproduced, this approach may serve as a model for physicians-in-training.

US$29.90

PMID: 10766683


Other references

Bullard, L.E.; Roberto, K.A.; Ford, B.L.; Penn, J.S., 1997: Inhibition of retinal neovascularization by intravitreal herbimycin A in a rat model of retinopathy of prematurity. Investigative Ophthalmology & Visual Science 38(4 PART 1-2): S610

Lewin, M.L., 1952: Facial deformity in acrocephaly and its surgical correction. The deformity of the craniofacial skeleton in acrocephaly is due to premature arrest of growth of different ossification lines. Many mild or even fully developed cases have normal mentality and are able to follow normal activities, the only disabi...

Dershowitz, N.K., 1973: On tactual perception of physiognomic properties. 1. The effects of noradrenaline and isoprenaline on the repolarization phase of the action potential have been studied in the Purkinje fibres of sheep heart, electrically driven at constant rates.2. Isoprenaline (2, 5 and 8 x 10(-8) g/ml.) increas...

Anonymous, 2012: Use of Lozenges Containing Lactobacillus brevis CD2 in Recurrent Aphthous Stomatitis A Double-Blind Placebo-Controlled Trial. Recurrent aphthous stomatitis is a common disorder of the oral cavity, affecting mainly young people. It is characterized by small ulcers which can be very painful and generally heal spontaneously within 7 14 days. There is currently no therapy th...

Anonymous, 1991: Vision tests monitor AIDS progression. Oncology 5(10): 52, 54-52, 54

Sameshima, T.; Yamanaka, H.; Akimoto, M.; Kanai, S.; Arihara, K.; Itoh, M.; Kondo, Y., 2002: Screening of intestinal Lactobacillus strains for meat starter cultures. Intestinal lactobacilli, such as Lactobacillus acidophilus grouping and Bifidobacterium spp., have been widely utilized for health fermented dairy products (e.g., acidophilus milk). However, these bacteria have not been applied yet to meat product...

D.D.minicis, A.; Lotti, F.; Pierandrei-Amaldi, P.; Cardinali, B., 1999: cDNA cloning and developmental expression of cellular nucleic acid-binding protein (CNBP) gene in Xenopus laevis. The cloning and sequencing of a cDNA corresponding to one of the two Xenopus cellular nucleic acid binding protein (CNBP) genes are presented. Comparison of this cDNA sequence (xCNBP2) with the other previously reported (xCNBP1) reveals that, whil...

Linder, B.; Mentele, E.; Mansperger, K., 2007: CHD4/Mi-2b activity is required for the positioning of the mesoderm/neuroectoderm boundary in Xenopus. Genes and Development 21(8): 3-83

Kiss, G.; Gueret, G.; Corre, O.; Deredec, R.; Arvieux, C.C., 2008: The use of nicorandil in cardioplegia solution. European Journal of Anaesthesiology 25(1): 83-4; Author Reply 84-5

Virabyan R.T.; Ovespyan M.L., 1983: General anesthesia by ketalar fentanyl in abdominal surgery. The methods of general anesthesia [in humans] by droplet injection of ketalar with fentanyl are reported. Droplet administration of ketalar-fentanyl mixture results in stable anesthesia-sleep and analgesia. The combination allows avoidance of the...