The Impact of Implementation of Bundle to Reduce Catheter-Related Bloodstream Infection Rates

BACKGROUND: The aim of the study was to investigate how control bundles reduce the rate of central venous catheter-associated bloodstream infections (CVC-BSIs) rates in critically ill patients. METHODS: This is a prospective before-and-after study designed to evaluate whether a set of control measur...

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Detalles Bibliográficos
Autores principales: Menegueti, Mayra Goncalves, Ardison, Kym Marcel Martins, Bellissimo-Rodrigues, Fernando, Gaspar, Gilberto Gambero, Martins-Filho, Olindo Assis, Puga, Marcelo Lourencini, Laus, Ana Maria, Basile-Filho, Anibal, Auxiliadora-Martins, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2015
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596267/
https://www.ncbi.nlm.nih.gov/pubmed/26491498
http://dx.doi.org/10.14740/jocmr2314w
Descripción
Sumario:BACKGROUND: The aim of the study was to investigate how control bundles reduce the rate of central venous catheter-associated bloodstream infections (CVC-BSIs) rates in critically ill patients. METHODS: This is a prospective before-and-after study designed to evaluate whether a set of control measures (bundle) can help prevent CVC-BSI. The bundles included a checklist that aimed to correct practices related to CVC insertion, manipulation, and maintenance based on guidelines of the Center for Disease Control and Prevention (CDC). RESULTS: We examined 123 checklists before and 155 checklists after implementation of the training program. Compared with the pre-intervention period, CVC-BSI rates decreased. Hand hygiene techniques were used correctly. CVC-BSI incidence was 9.3 and 5.1 per 1,000 catheter-days before and after the training program, respectively. CONCLUSIONS: The implementation of a bundle and training program effectively reduces CVC-BSI rates.

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