Effectiveness of a care bundle to reduce central line-associated bloodstream infections.
Med J Aust
; 202(5): 247-50, 2015 Mar 16.
Article
em En
| MEDLINE
| ID: mdl-25758694
ABSTRACT
OBJECTIVE:
To determine the effectiveness of a care bundle, with a novel line maintenance procedure, in reducing the rate of central line-associated bloodstream infection (CLABSI) in the intensive care unit (ICU). DESIGN, PARTICIPANTS ANDSETTING:
Before-and-after study using CLABSI data reported to the Victorian Healthcare Associated Infection Surveillance System (VICNISS), in adult patients admitted to a tertiary adult ICU in regional Victoria between 1 July 2006 and 30 June 2014. VICNISS-reported CLABSI cases were reviewed for verification. An intervention was implemented in 2009. INTERVENTION The care bundle introduced in 2009 included a previously established line insertion procedure and a novel line maintenance procedure comprising Biopatch, daily 2% chlorhexidine body wash, daily ICU central line review, and liaison nurse follow-up of central lines. MAIN OUTCOMEMEASURES:
CLABSI rate (cases per 1000 central line days).RESULTS:
The average CLABSI rate fell from 2.2/1000 central line days (peak of 5.2/1000 central line days in quarter 4, 2008) during the pre-intervention period to 0.5/1000 central line days (0/1000 central line days from July 2012 to July 2014) during the post-intervention period.CONCLUSION:
Our study suggests that this care bundle, using a novel maintenance procedure, can effectively reduce the CLABSI rate and maintain it at zero out to 2 years.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Venoso Central
/
Bacteriemia
/
Cuidados Críticos
/
Infecções Relacionadas a Cateter
/
Pacotes de Assistência ao Paciente
Tipo de estudo:
Guideline
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Med J Aust
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Austrália