In 2006 research reported that the use of 70 alcohol wipes is not a sufficient

In 2006 research reported that the use of 70 alcohol

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specific recommendation on the amount of time needed to reach optimal disinfection. In 2006, research reported that the use of 70% alcohol wipes is not a sufficient protection against microbial contamination and as such the use of disinfectant caps was recommended. A quasi-experimental study was conducted in a 430-bed tertiary care trauma 1 center in the U. S. Mountain West. A luer-lock disinfectant cap with 70% alcohol was implemented in all patients with peripheral IV and central lines beginning January 2012 and compliance was determined by audits conducted 1-2 times per week.
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MILESTONE THREE 5 The result was a decreased in patient infection by more than 40%, an annual saving of $300,000 and decrease of 68 patient hospital days. Ramirez, C., Lee, A. M., & Welch, K. (2012). Central Venous Catheter Protective Connector Caps Reduce Intraluminal Catheter-Related Infection. Journal of The Association for Vascular Access , 17 (4), 210-213. doi:10.1016/j.java.2012.10.002 The article discussed about how Banner Estrella Medical Center, a 214-bed community hospital offering cardiac, general and orthopedic surgery and hematology-oncology services were able to decrease the rate of infection associated with intraluminal contamination. Although CLABSI rate is decreasing, there are still infections occurring in patients whose catheters are in for more than 4 days. The hospital conducted a nonrandomized trial from March 2011 to February 2012 of using the Curos Port Protector. During the intervention, multidisciplinary meetings were conducted to emphasize education on the trial design. The caps were made readily available in the medication rooms and later hung in IV poles. Compliance were checked every rounding event. The result of the 1 year trial resulted in a significant decrease in CLABSI. Voor in ’t holta, A.F., Helderb, O.K., Vosa, M.C., Schafthuizenc, L., Sülzd S., Hoogene, A. & Istaf, E. (January 18, 2017) Antiseptic barrier cap effective in reducing central line- associated bloodstream infections: A systematic review and meta-analysis. International Journal of Nursing Studies. 69 (2017) 34–40. doi.org/10.1016/j.ijnurstu.2017.01.007
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MILESTONE THREE 6 Microorganism can access central venous catheter via an intraluminal or extraluminal route. To prevent central line-associated bloodstream infection (CLABSI), the catheter hub should be appropriately disinfected. However, compliance to this time consuming
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