Central line-associated bloodstream infection (CLABSI) in Cancer patients: Role of central line insertion practices and audit system in prevention

摘要

In Australia there are approximately 180,000 Healthcare Ac-quired Infections (HAIs) annually. Decreasing HAI has been identified as aquality improvement priority. Deep wound infection following joint replace-ment surgery have substantial impacts on patients’ outcomes and healthcarecosts. The research literature identified two areas for infection preventionassociated with joint replacements: preoperative screening and optimisationof risk factors and intraoperative interventions including: improved surgicaltechnique, prophylactic antibiotics and rigorous infection control practices.Objective: A systematic integrative review was completed focusing on in-terventions to optimise human and environmental factors that affect microbialload in the operating room (OR). The aim of this review were to evaluatebehavioural factors that increase microbial load within the OR, to evaluateinterventions to decrease transmission of airborne contamination in the OR.Methods: The integrative approach was chosen as included studies usedwide-ranges of research designs: randomised controlled trials, cohortstudies, cross sectional observational studies and experimental studies usingsimulated environments.