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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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 |
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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 |
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