Prospective, multi-centre study
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.
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?