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Provonost et al. Intervention to decrease CVC-related bloodstream infections. NEJM 2006.

Created: 29/3/2008
Updated: 29/3/2008
 

Paper style

Prospective, multi-centre study

Reference

Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S et al.

An intervention to decrease catheter-related bloodstream infections in the ICU.

New England Journal of Medicine 2006; 355: 2725-32.


Major finding

An evidence-based intervention resulted in a large and sustained reduction (up to 66%) in rates of catheter-related bloodstream infection that was maintained throughout the 18-month study period. The intervention included: 

  • WASHING HANDS
  • USE OF FULL-BARRIER PRECAUTIONS DURING CVC INSERTION
  • CLEANING THE SKIN WITH CHLORHEXIDINE
  • AVOIDING THE FEMORAL SITE
  • REMOVING UNNECESSARY CENTRAL VENOUS CATHETERS   


Point for discussion:

Is it really that simple?




ArticleDate:20080329
SiteSection: Article
 
   
    
                                            
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