Catheter-related bloodstream infections (CR-BSI) in geriatric patients in intensive care units

Cynthia C Chernecky, Denise Macklin, Paul Blackburn

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Catheter-related bloodstream infections (CR-BSIs) are bloodstream infections that, through specific laboratory testing, identify the intravascular catheter as the source of the bloodstream infection. By 2015, the rate of elderly patients 80 years of age and older admitted to the intensive care unit (ICU) will represent 1 in 4 admissions. Approximately 80 000 CR-BSIs occur in ICUs annually, potentially resulting in asmany as 56 000 CR-BSIs occurring in the geriatric ICU patient, with 20% of these cases resulting in death. To minimize the occurrence of CR-BSIs in these patients, specific knowledge about the geriatric patient will have to be factored into the ICU health care professional's practice, including the development of a vascular access plan, which includes selection of the correct device and proper insertion of that device along with an evidence-based care and maintenance program. Intensive care unit health care professionals may be at a loss when it comes to navigating the vast array of vascular access medical devices available today. The Healthcare and Technology Synergy framework can assist the ICU health care professional to logically review each vascular access device and select those devices that best meet patient needs.

Original languageEnglish (US)
Pages (from-to)280-292
Number of pages13
JournalCritical Care Nursing Quarterly
Volume38
Issue number3
DOIs
StatePublished - Jan 1 2015

Fingerprint

Catheter-Related Infections
Geriatrics
Intensive Care Units
Delivery of Health Care
Vascular Access Devices
Equipment and Supplies
Professional Practice
Infection
Blood Vessels
Catheters
Maintenance
Technology

Keywords

  • Bloodstream infection
  • Catheter-related
  • Geriatrics
  • HATS framework
  • Intensive care patient

ASJC Scopus subject areas

  • Critical Care

Cite this

Catheter-related bloodstream infections (CR-BSI) in geriatric patients in intensive care units. / Chernecky, Cynthia C; Macklin, Denise; Blackburn, Paul.

In: Critical Care Nursing Quarterly, Vol. 38, No. 3, 01.01.2015, p. 280-292.

Research output: Contribution to journalArticle

@article{0cc44de1136542b7b97bbd3ffa621dc0,
title = "Catheter-related bloodstream infections (CR-BSI) in geriatric patients in intensive care units",
abstract = "Catheter-related bloodstream infections (CR-BSIs) are bloodstream infections that, through specific laboratory testing, identify the intravascular catheter as the source of the bloodstream infection. By 2015, the rate of elderly patients 80 years of age and older admitted to the intensive care unit (ICU) will represent 1 in 4 admissions. Approximately 80 000 CR-BSIs occur in ICUs annually, potentially resulting in asmany as 56 000 CR-BSIs occurring in the geriatric ICU patient, with 20{\%} of these cases resulting in death. To minimize the occurrence of CR-BSIs in these patients, specific knowledge about the geriatric patient will have to be factored into the ICU health care professional's practice, including the development of a vascular access plan, which includes selection of the correct device and proper insertion of that device along with an evidence-based care and maintenance program. Intensive care unit health care professionals may be at a loss when it comes to navigating the vast array of vascular access medical devices available today. The Healthcare and Technology Synergy framework can assist the ICU health care professional to logically review each vascular access device and select those devices that best meet patient needs.",
keywords = "Bloodstream infection, Catheter-related, Geriatrics, HATS framework, Intensive care patient",
author = "Chernecky, {Cynthia C} and Denise Macklin and Paul Blackburn",
year = "2015",
month = "1",
day = "1",
doi = "10.1097/CNQ.0000000000000076",
language = "English (US)",
volume = "38",
pages = "280--292",
journal = "Critical Care Nursing Quarterly",
issn = "0887-9303",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Catheter-related bloodstream infections (CR-BSI) in geriatric patients in intensive care units

AU - Chernecky, Cynthia C

AU - Macklin, Denise

AU - Blackburn, Paul

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Catheter-related bloodstream infections (CR-BSIs) are bloodstream infections that, through specific laboratory testing, identify the intravascular catheter as the source of the bloodstream infection. By 2015, the rate of elderly patients 80 years of age and older admitted to the intensive care unit (ICU) will represent 1 in 4 admissions. Approximately 80 000 CR-BSIs occur in ICUs annually, potentially resulting in asmany as 56 000 CR-BSIs occurring in the geriatric ICU patient, with 20% of these cases resulting in death. To minimize the occurrence of CR-BSIs in these patients, specific knowledge about the geriatric patient will have to be factored into the ICU health care professional's practice, including the development of a vascular access plan, which includes selection of the correct device and proper insertion of that device along with an evidence-based care and maintenance program. Intensive care unit health care professionals may be at a loss when it comes to navigating the vast array of vascular access medical devices available today. The Healthcare and Technology Synergy framework can assist the ICU health care professional to logically review each vascular access device and select those devices that best meet patient needs.

AB - Catheter-related bloodstream infections (CR-BSIs) are bloodstream infections that, through specific laboratory testing, identify the intravascular catheter as the source of the bloodstream infection. By 2015, the rate of elderly patients 80 years of age and older admitted to the intensive care unit (ICU) will represent 1 in 4 admissions. Approximately 80 000 CR-BSIs occur in ICUs annually, potentially resulting in asmany as 56 000 CR-BSIs occurring in the geriatric ICU patient, with 20% of these cases resulting in death. To minimize the occurrence of CR-BSIs in these patients, specific knowledge about the geriatric patient will have to be factored into the ICU health care professional's practice, including the development of a vascular access plan, which includes selection of the correct device and proper insertion of that device along with an evidence-based care and maintenance program. Intensive care unit health care professionals may be at a loss when it comes to navigating the vast array of vascular access medical devices available today. The Healthcare and Technology Synergy framework can assist the ICU health care professional to logically review each vascular access device and select those devices that best meet patient needs.

KW - Bloodstream infection

KW - Catheter-related

KW - Geriatrics

KW - HATS framework

KW - Intensive care patient

UR - http://www.scopus.com/inward/record.url?scp=84942576788&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84942576788&partnerID=8YFLogxK

U2 - 10.1097/CNQ.0000000000000076

DO - 10.1097/CNQ.0000000000000076

M3 - Article

VL - 38

SP - 280

EP - 292

JO - Critical Care Nursing Quarterly

JF - Critical Care Nursing Quarterly

SN - 0887-9303

IS - 3

ER -