How hospitals are preventing device-related infections

More hospitals are using evidence-based or recommended practices to prevent device-related infections, according to a study published in BMJ Quality & Safety.

For the study, researchers polled a random sampling of infection preventionists from 528 acute care hospitals nationwide in 2017.

The survey asked respondents to share how they are preventing three types of device-related infections: catheter-associated urinary tract infections, central line-associated bloodstream infections and ventilator-associated pneumonia.

Here is a breakdown of what practices or technologies hospitals reported using to prevent each infection type:

CAUTI

  • Portable bladder ultrasound scanners — 73.2 percent of hospitals
  • Urinary catheter reminders or stop-orders — 75.3 percent
  • Silver alloy Foley catheters — 26.8 percent
  • Aseptic technique during catheter insertion and maintenance — 90 percent
  • Established surveillance system for monitoring urinary tract infection rates facilitywide — 93.2 percent

CLABSI

  • Maximum sterile barrier precautions during central line insertion — nearly 100 percent
  • Chlorhexidine gluconate for insertion site antisepsis — nearly 100 percent
  • Antimicrobial-coated catheters — 40.7 percent
  • Antimicrobial dressing with chlorhexidine — 89.1 percent
  • Established surveillance system for monitoring CLABSI rates facilitywide — 92.8 percent

VAP

  • Semirecumbent positioning of the patient — 98.2 percent
  • Antimicrobial mouth rinse — 83.6 percent
  • Subglottic secretion drainage — 57.6 percent
  • Topical and/or systemic antibiotics for selective digestive tract decontamination — 24.4 percent
  • Established surveillance system for monitoring VAP rates facilitywide — 93.6 percent

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