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Correspondence
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Volume 356:1267-1268 March 22, 2007 Number 12
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Catheter-Related Bloodstream Infections

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 by Pronovost, P.
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To the Editor: The report by Pronovost et al. (Dec. 28 issue)1 on an intervention to decrease catheter-related bloodstream infections in the intensive care unit (ICU) would have been more convincing had the authors substantiated that the decline in the rate of these infections was matched by a decline in the number of positive blood cultures or in the use of antibiotics. A culture of safety in which the rates of catheter-related bloodstream infections were an explicit benchmark of quality could have biased clinicians against attributing positive blood cultures to such infections. The seemingly straightforward criteria for catheter-related bloodstream infections . . . [Full Text of this Article]


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