Evidence map›Paper›PMID 25952048›Full record

ArticleAmerican journal of infection control2015

Central line-associated blood stream infections in pediatric intensive care units: Longitudinal trends and compliance with bundle strategies.

Jeffrey D Edwards, Carolyn T Herzig, Hangsheng Liu, Monika Pogorzelska-Maziarz, Philip Zachariah, Andrew W Dick, Lisa Saiman, Patricia W Stone, E Yoko Furuya

Open access · greenAbstract read
In one paragraph

Article in American journal of infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 45 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Jeffrey D EdwardsDivision of Pediatric Critical Care Medicine, Columbia University College of Physicians and Surgeons, New York, NY. Electronic address: jde2134@columbia.edu.
Carolyn T HerzigCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Hangsheng LiuRAND Corporation, Boston, MA.
Monika Pogorzelska-MaziarzJefferson School of Nursing, Thomas Jefferson University, Philadelphia, PA.
Philip ZachariahDivision of Pediatric Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, NY.
Andrew W DickRAND Corporation, Boston, MA.
Lisa SaimanDivision of Pediatric Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, NY; Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY.
Patricia W StoneCenter for Health Policy, Columbia University School of Nursing, New York, NY.
E Yoko FuruyaDepartment of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY; Division of Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, NY.
Columbia University · USRAND Corporation · USNew York Hospital Queens · USThomas Jefferson University · US

Funding

Training in Pediatric Infectious DiseasesT32AI007531 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PRINCE, ALICE S, SAIMAN, LISA · 1998 to 2023
$4.0M
Prevention of Nosocomial Infections and Cost-Effectiveness Refined (P-NICER)R01NR010107 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STONE, PATRICIA W. · 2007 to 2012
$3.2M
NIAID NIH HHS T32 AI007531NINR NIH HHS R01 NR010107NINR NIH HHS R01NR010107
6 · The paper itself

Abstract

backgroundKnowing the temporal trend central line-associated bloodstream infection (CLABSI) rates among U.S. pediatric intensive care units (PICUs), the current extent of central line bundle compliance, and the impact of compliance on rates is necessary to understand what has been accomplished and can be improved in CLABSI prevention.

methodsThis is a longitudinal study of PICUs in National Healthcare Safety Network hospitals and a cross-sectional survey of directors and managers of infection prevention and control departments regarding PICU CLABSI prevention practices, including self-reported compliance with elements of central line bundles. Associations between 2011-2012 PICU CLABSI rates and infection prevention practices were examined.

resultsReported CLABSI rates decreased during the study period, from 5.8 per 1,000 line days in 2006 to 1.4 in 2011-2012 (P < .001). Although 73% of PICUs had policies for all central line prevention practices, only 35% of those with policies reported ≥95% compliance. PICUs with ≥95% compliance with central line infection prevention policies had lower reported CLABSI rates, but this association was statistically insignificant.

conclusionThere was a nonsignificant trend in decreasing CLABSI rates as PICUs improved bundle policy compliance. Given that few PICUs reported full compliance with these policies, PICUs increasing their efforts to comply with these policies may help reduce CLABSI rates.

Indexed as

Guideline AdherenceIntensive Care Units, PediatricAnimalsBirdsCatheterization, Central VenousCatheter-Related InfectionsCohort StudiesCross-Sectional StudiesHumansInfection ControlLongitudinal StudiesSepsisCatheter-related infectionsIntensive care unitsPediatricPolicy

Identifiers

PMID25952048
PMCPMC4430334
OpenAlexW2054262994

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.