Cargando…

Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India

CONTEXT: The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome. AIMS: To evaluate the impact of the bundle care approach on reducing device-associated infections (DAIs). SETTINGS AND DESIGN: The stud...

Descripción completa

Detalles Bibliográficos
Autores principales: Prakash, Suman Susan, Rajshekar, Deepashree, Cherian, Anusha, Sastry, Apurba Sankar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607757/
https://www.ncbi.nlm.nih.gov/pubmed/28966490
http://dx.doi.org/10.4103/JLP.JLP_162_16
_version_ 1783265332401537024
author Prakash, Suman Susan
Rajshekar, Deepashree
Cherian, Anusha
Sastry, Apurba Sankar
author_facet Prakash, Suman Susan
Rajshekar, Deepashree
Cherian, Anusha
Sastry, Apurba Sankar
author_sort Prakash, Suman Susan
collection PubMed
description CONTEXT: The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome. AIMS: To evaluate the impact of the bundle care approach on reducing device-associated infections (DAIs). SETTINGS AND DESIGN: The study was conducted at a tertiary care hospital, South India. The study period was from January 2016 to September 2016 which was divided into three phases, each comprising 3 months. SUBJECTS AND METHODS: During the implementation phase, bundle care forms were implemented in all Intensive Care Units (ICUs) and the ICU staff were given a basic education on the importance of bundle care approach. The DAI rates (ventilator-associated pneumonia [VAP] rates, central line-associated bloodstream infection [CLABSI] rate, and catheter-associated urinary tract infection [CAUTI] rate) were calculated throughout the study period. STATISTICAL ANALYSIS USED: Statistical analysis was performed using SPSS 19 software. RESULTS: During preimplementation phase, the VAP rate, CLABSI rate, and CAUTI rate were 14.79, 4.98, and 4.86 per 1000 device days, respectively. Rates were reduced to 13.03, 3.98, and 3.39 per 1000 device days, respectively, during the implementation phase and further reduced into 11.91, 3.49, and 2.36 per 1000 device days during the postimplementation phase. The month-wise decreasing trend of DAI rates was significant for medical ICUs as compared to surgical and pediatric ICUs. CONCLUSIONS: The month-wise decreasing trend of VAP rate, CLABSI rate, and CAUTI rate was noted, which signifies that the use of care bundle approach has a great impact on reducing DAIs
format Online
Article
Text
id pubmed-5607757
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-56077572017-10-01 Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India Prakash, Suman Susan Rajshekar, Deepashree Cherian, Anusha Sastry, Apurba Sankar J Lab Physicians Original Article CONTEXT: The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome. AIMS: To evaluate the impact of the bundle care approach on reducing device-associated infections (DAIs). SETTINGS AND DESIGN: The study was conducted at a tertiary care hospital, South India. The study period was from January 2016 to September 2016 which was divided into three phases, each comprising 3 months. SUBJECTS AND METHODS: During the implementation phase, bundle care forms were implemented in all Intensive Care Units (ICUs) and the ICU staff were given a basic education on the importance of bundle care approach. The DAI rates (ventilator-associated pneumonia [VAP] rates, central line-associated bloodstream infection [CLABSI] rate, and catheter-associated urinary tract infection [CAUTI] rate) were calculated throughout the study period. STATISTICAL ANALYSIS USED: Statistical analysis was performed using SPSS 19 software. RESULTS: During preimplementation phase, the VAP rate, CLABSI rate, and CAUTI rate were 14.79, 4.98, and 4.86 per 1000 device days, respectively. Rates were reduced to 13.03, 3.98, and 3.39 per 1000 device days, respectively, during the implementation phase and further reduced into 11.91, 3.49, and 2.36 per 1000 device days during the postimplementation phase. The month-wise decreasing trend of DAI rates was significant for medical ICUs as compared to surgical and pediatric ICUs. CONCLUSIONS: The month-wise decreasing trend of VAP rate, CLABSI rate, and CAUTI rate was noted, which signifies that the use of care bundle approach has a great impact on reducing DAIs Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5607757/ /pubmed/28966490 http://dx.doi.org/10.4103/JLP.JLP_162_16 Text en Copyright: © 2017 Journal of Laboratory Physicians http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Prakash, Suman Susan
Rajshekar, Deepashree
Cherian, Anusha
Sastry, Apurba Sankar
Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India
title Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India
title_full Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India
title_fullStr Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India
title_full_unstemmed Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India
title_short Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India
title_sort care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, south india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607757/
https://www.ncbi.nlm.nih.gov/pubmed/28966490
http://dx.doi.org/10.4103/JLP.JLP_162_16
work_keys_str_mv AT prakashsumansusan carebundleapproachtoreducedeviceassociatedinfectionsinatertiarycareteachinghospitalsouthindia
AT rajshekardeepashree carebundleapproachtoreducedeviceassociatedinfectionsinatertiarycareteachinghospitalsouthindia
AT cheriananusha carebundleapproachtoreducedeviceassociatedinfectionsinatertiarycareteachinghospitalsouthindia
AT sastryapurbasankar carebundleapproachtoreducedeviceassociatedinfectionsinatertiarycareteachinghospitalsouthindia