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Effect of a vascular access team on central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit: a systematic review.

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Effect of a vascular access team on central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit: a systematic review.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Legemaat, Monique M. Jongerden, Irene P. Van Rens, Roland M. F. P. T. Zielman, Marjanne Van Den Hoogen, Agnes
Description	Author Affiliation: Legemaat MM ( Nursing Science, program in Clinical Health Sciences, Faculty of Medicine, Utrecht University, The Netherlands); Jongerden IP ( Nursing Science, program in Clinical Health Sciences, Faculty of Medicine, Utrecht University, The Netherlands); van Rens RM ( Department of Neonatology Erasmus MC-Sophia's Childrens Hospital, Rotterdam, The Netherlands); Zielman M ( Nursing Science, program in Clinical Health Sciences, Faculty of Medicine, Utrecht University, The Netherlands); van den Hoogen A ( Nursing Science, program in Clinical Health Sciences, Faculty of Medicine, Utrecht University, The Netherlands)
Abstract	OBJECTIVE: To review the effect of a vascular access team on the incidence of central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit. DATA SOURCES: MEDLINE, CINAHL, Embase, Web-of-Science and the Cochrane Library were searched until December 2013. STUDY SELECTION: Studies that evaluated the implementation of a vascular access team, and focused on the incidence of central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit, were selected. DATA EXTRACTION: Incidence rates of central line-associated bloodstream infections were extracted, as well as information on vascular access team tasks and team composition. The quality of studies was critically appraised using the McMaster tool for quantitative studies. DATA SYNTHESIS: Seven studies involving 136 to 414 participants were included. In general, the implementation of a vascular access team coincided with the implementation of concurrent interventions. All vascular access teams included nurses, and occasionally included physicians. Main tasks included insertion and maintenance of central lines. In all studies, a relative decrease of 45-79% in central line-associated bloodstream infections was reported. CONCLUSIONS: A vascular access team is a promising intervention to decrease central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit. However, level of evidence for effectiveness is low. Future research is required to improve the strength of evidence for vascular access teams.
File Format	HTM / HTML
ISSN	00207489
Issue Number	5
Volume Number	52
e-ISSN	1873491X
Journal	International Journal of Nursing Studies
Language	English
Publisher	Elsevier
Publisher Date	2015-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nursing Catheterization, Central Venous Adverse Effects Intensive Care Units, Neonatal Patient Care Team Sepsis Therapy Humans Infant, Newborn Patient Admission Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Nursing

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