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Essay / Research Paper Abstract
A 4 page research paper that summarizes empirical evidence on reducing the central line infection rate. Bibliography lists 9 sources.
Page Count:
4 pages (~225 words per page)
File: KL9_khcvcinf.doc
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Unformatted sample text from the term paper:
most effective interventions to prevent central line infections? Empirical evidence that answers the practice question are summarized in the chart below: Category Level Number of Studies Summary of
Findings Overall Rating Level I 2 *Use of urokinase, with or without heparin, to cleanse the central venous catheter (CVC) may have reduced the infection rate. *Catheters coated in
chlorhexidine-silver sulfadiazine were well tolerated and the coating appears to have decreased the colonization by microbes of the catheter when compared with uncoated catheters, but the risk for infection between
the 2 study groups was similar (Rupp, et al, 2005). C-A Level II 0 Level III 3
*Recommended specific evidence-based
catheter insertion practices, such as sterile barrier precautions during insertion and chlorhexidine as a skin disinfectant. *Use of educational modules, which is a recommendation substantiated by Costello, et al (2008).
*Recommended standardized tools when recording adherence to catheter insertion practices. *Use of a standardized list for the content of catheter insertion kits. *Recommended measuring the incidence of central-line associated
blood stream infection (BSI) (CVC, 2005). *The Central Line (CL) Bundle, developed by the Institute for Healthcare Improvement (IHI), was found to be effective in reducing CVC infection
only when hospital compliance with the CL Bundle protocols was high (Furuya, et al, 2011). CL Bundle recommendations include those cited above and choosing the best catheter site, avoiding the
use of the femoral vein in adults and daily review combined with prompt removal of all lines when they are not needed (Furuya, et al, 2011). A-A-A Level IV 3
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