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

Division of Intensive Care. Department of Surgery and Anatomy. Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP, Brazil / Hospital Infection Control Committee.Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP , Brazil /Ribeirao Preto Nursing School. University of Sao Paulo. Ribeirao Preto, SP , Brazil.
Getulio Vargas Foundation. Brazilian School of Economy and Finance. Rio de Janeiro, RJ, Brazil.
Department of Social Medicine. Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP, Brazil / Hospital Infection Control Committee.Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP , Brazil
Hospital Infection Control Committee.Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP , Brazil
Oswaldo Cruz Foundation. Rene Rachou Institute. Laboratory of Biomarkers. Belo Horizonte, MG, Brazil.
Hospital Infection Control Committee. Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP, Brazil
Ribeirao Preto Nursing School. University of Sao Paulo. Ribeirao Preto, SP, Brazil.
Hospital Infection Control Committee.Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP, Brazil
Hospital Infection Control Committee.Ribeirao Preto Medical School. University of Sao Paulo. Ribeirao Preto, SP, Brazil

Abstract

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.

Keywords

Intensive care unit
Catheter-related bloodstream infection
Central venous catheter
Educational intervention

Publisher

Elmer Press

Citation

MENEGUETI, Mayra Goncalves et al. The Impact of Implementation of Bundle to Reduce Catheter-Related Bloodstream Infection Rates. J Clin Med Res., v. 7, n. 11, p. 857-861, 2015. doi: 10.14740/jocmr2314w.

DOI

10.14740/jocmr2314w

ISSN

1918-3003

Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/50994

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