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ICAAC 2012: Reducing CVC-Related Bloodstream Infections

The Particulars: Central venous catheters (CVCs) are frequently used throughout hospitals nationwide, and related bloodstream infections are common among recipients of these devices. A hospital-wide training program focusing on the significance of these infections may help reduce the burden. Data Breakdown: For a study, anesthesiologists and intensive care specialists were trained by 20 perspective 4-hour simulator workshops in CVC insertion. Nurses throughout the hospital were also trained in CVC care by their supervisors via a web-based modular e-learning program. Following training, quarterly CVC-related blood stream infections were reduced 8.2% hospital-wide, by 10.6% in the ICU, and by 7.4% in non-ICU settings. Take Home Pearls: A multimodal, multidisciplinary training program appears to significantly reduce the incidence of hospital-wide CVC-related bloodstream...

Conference Highlights: CHEST 2011

New research presented at CHEST 2011, the 77th annual meeting of the American College of Chest Physicians, from October 22-26 in Honolulu addressed many important topics in pulmonary, critical care, and sleep medicine. The features below highlight just some of the studies that emerged from the meeting. » Pain Common for Pulmonologists Performing Bronchoscopy » Guideline Effects on CRBSI  » An Effective Computer Model for Smoking Cessation  Pain Common for Pulmonologists Performing Bronchoscopy The Particulars: Much attention has been paid to ergonomics and overuse injury in gastroenterology and surgery settings. However, little attention has been paid on other medical specialties, such as bronchoscopy. Data Breakdown: Researchers in New York gave an online questionnaire to 132 pulmonologists to assess pain and injury while performing bronchoscopy. Nearly 40% reported experiencing pain while operating a bronchoscope. Among this group, 22% reported recurring pain, which mostly occurred in the shoulder, back, wrist, neck, and thumb. This pain appeared to be associated with overuse and height less than 5’7″. Only 38% of pulmonologists who felt pain attempted to modify their workspace. Take Home Pearl: Interventions may be needed to prevent musculoskeletal injuries among pulmonologists who perform bronchoscopies. Guideline Effects on CRBSI [back to top] The Particulars: The Institute of Health Improvement Bundle was created in 2006 as a guideline to help hospitals reduce catheter-related bloodstream infection (CRBSI) rates. Whether this goal has been achieved remains uncertain. Data Breakdown: An investigation from researchers in Tampa retrospectively reviewed 895 patient charts for people admitted to two hospitals who required a central venous catheter (CVC) between 2007, when the guidelines were first released, and 2010. The rate of CRBSIs decreased from 4.38 per...
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