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  • Title: Implementing evidence-based nursing practice in the pediatric intensive care unit.
    Author: Morgan LM, Thomas DJ.
    Journal: J Infus Nurs; 2007; 30(2):105-12; quiz 120-1. PubMed ID: 17413495.
    Abstract:
    With the widespread use of central venous catheters in children, the incidence of catheter-related bloodstream infections (CR-BSIs) is increasing. Current evidence-based practice strategies to decrease CR-BSIs include using maximum barrier techniques during insertion, practicing good hand hygiene, performing skin antisepsis with 2% chlorhexidine, using a chlorhexidine-impregnated patch (CIP) covered by a semipermeable polyurethane dressing, and promptly removing catheters when no longer needed. Implementation of evidence-based practice bundles, along with monthly monitoring of infection surveillance, has resulted in significant decreases in the average rates of CR-BSIs per 1,000 catheter days in many pediatric intensive care units.
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