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Impact of two bundles on central catheter-related bloodstream infection in critically ill patients
OBJECTIVE: To evaluate the impact of the implementation of insertion and maintenance bundles on the rates of catheter-related bloodstream infection in an intensive care unit. METHOD: This is a quasi-experimental, before-and-after study with a non-equivalent control group. During a six-month period,...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738873/ https://www.ncbi.nlm.nih.gov/pubmed/29211195 http://dx.doi.org/10.1590/1518-8345.2190.2951 |
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author | Padilla Fortunatti, Cristobal Felipe |
author_facet | Padilla Fortunatti, Cristobal Felipe |
author_sort | Padilla Fortunatti, Cristobal Felipe |
collection | PubMed |
description | OBJECTIVE: To evaluate the impact of the implementation of insertion and maintenance bundles on the rates of catheter-related bloodstream infection in an intensive care unit. METHOD: This is a quasi-experimental, before-and-after study with a non-equivalent control group. During a six-month period, insertion and maintenance bundles for the central venous catheters were implemented. Supervision guidelines were developed to assess compliance with the bundle and catheter characteristics. RESULTS: A total of 444 central catheters corresponding to 390 patients were observed, of which 68.7% were inserted in the unit. The maintenance and insertion bundles reached 62.9% and 94.7% compliance, respectively, and 50.7% of the insertions were supervised. It was possible to observe a 54.5% decrease in the rate of central catheter infection (3.48 vs 1.52 x 1000 days/catheter, p<0.05) when compared with the control group. CONCLUSION: The simultaneous implementation of insertion and maintenance bundles has a positive impact on the reduction of catheter-related bloodstream infection; therefore it is an efficient alternative to improve the quality and safety of care in high complexity units. |
format | Online Article Text |
id | pubmed-5738873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-57388732018-01-02 Impact of two bundles on central catheter-related bloodstream infection in critically ill patients Padilla Fortunatti, Cristobal Felipe Rev Lat Am Enfermagem Original Article OBJECTIVE: To evaluate the impact of the implementation of insertion and maintenance bundles on the rates of catheter-related bloodstream infection in an intensive care unit. METHOD: This is a quasi-experimental, before-and-after study with a non-equivalent control group. During a six-month period, insertion and maintenance bundles for the central venous catheters were implemented. Supervision guidelines were developed to assess compliance with the bundle and catheter characteristics. RESULTS: A total of 444 central catheters corresponding to 390 patients were observed, of which 68.7% were inserted in the unit. The maintenance and insertion bundles reached 62.9% and 94.7% compliance, respectively, and 50.7% of the insertions were supervised. It was possible to observe a 54.5% decrease in the rate of central catheter infection (3.48 vs 1.52 x 1000 days/catheter, p<0.05) when compared with the control group. CONCLUSION: The simultaneous implementation of insertion and maintenance bundles has a positive impact on the reduction of catheter-related bloodstream infection; therefore it is an efficient alternative to improve the quality and safety of care in high complexity units. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2017-12-04 /pmc/articles/PMC5738873/ /pubmed/29211195 http://dx.doi.org/10.1590/1518-8345.2190.2951 Text en Copyright © 2017 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article Padilla Fortunatti, Cristobal Felipe Impact of two bundles on central catheter-related bloodstream infection in critically ill patients |
title | Impact of two bundles on central catheter-related bloodstream infection
in critically ill patients |
title_full | Impact of two bundles on central catheter-related bloodstream infection
in critically ill patients |
title_fullStr | Impact of two bundles on central catheter-related bloodstream infection
in critically ill patients |
title_full_unstemmed | Impact of two bundles on central catheter-related bloodstream infection
in critically ill patients |
title_short | Impact of two bundles on central catheter-related bloodstream infection
in critically ill patients |
title_sort | impact of two bundles on central catheter-related bloodstream infection
in critically ill patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738873/ https://www.ncbi.nlm.nih.gov/pubmed/29211195 http://dx.doi.org/10.1590/1518-8345.2190.2951 |
work_keys_str_mv | AT padillafortunatticristobalfelipe impactoftwobundlesoncentralcatheterrelatedbloodstreaminfectionincriticallyillpatients |