OBJECTIVE: Central line-associated bloodstream infections (CLABSIs) are hospital-acquired, serious complications that greatly affect many vulnerable neonates throughout their hospital stay. This article describes the implementation of a unique practice in which pharmacy primes continuous infusions through medication tubing for neonatal central lines in a cleanroom at Children\'s Hospital Colorado - Colorado Springs (CHCO-CSH).
CONCLUSIONS: This institution is a freestanding children\'s hospital with a level III neonatal intensive care unit (NICU) that opened in April 2019. Since then, the pharmacy department has been priming central line tubing for continuous infusions for all patients in the NICU. Neonates are at increased risk for developing CLABSIs due to their immature immune systems and frequent need for central line placement. With that in mind, the pharmacy department decided to focus efforts on this population. Pharmacists and pharmacy technicians received training on how to properly prime tubing, document when a patient received a new central line, document if a central line was removed, and record when new tubing was due based on a department policy.
CONCLUSIONS: This novel, pharmacy-led priming procedure resulted in a low CLABSI incidence, offering a promising strategy to reduce CLABSIs in a NICU.
目标:中心管路相关血流感染(CLABSI)是医院获得性感染,严重的并发症严重影响许多脆弱的新生儿在整个住院期间。本文介绍了在科罗拉多州-科罗拉多斯普林斯儿童医院(CHCO-CSH)的洁净室中,药房通过用于新生儿中心线的药物管进行连续输注的独特实践的实施。
结论:该机构是一家独立的儿童医院,拥有III级新生儿重症监护病房(NICU),于2019年4月开业。从那以后,药剂科一直在为NICU中的所有患者准备连续输液的中心管路。由于其不成熟的免疫系统和频繁的中心线放置需要,新生儿发展为CLABSI的风险增加。考虑到这一点,药剂科决定重点关注这一人群。药剂师和制药技术人员接受了如何正确灌注管道的培训,当患者接受新的中心线时,文档,如果删除了中心线,并根据部门政策记录新油管的到期时间。
结论:这部小说,以药房为主导的启动程序导致CLABSI发生率较低,提供了一个有希望的策略来减少NICU中的CLABSI。