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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
The Impact of Implementation of Bundle to Reduce Catheter-Related Bloodstream Infection Rates
Mayra Goncalves Menegueti1, Kym Marcel Martins Ardison2, Fernando Bellissimo-Rodrigues3
1Division of Intensive Care, Department of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, SP 14049-900 Ribeirao Preto, Brazil ; Hospital Infection Control Committee, Ribeirao Preto Medical School, University of Sao Paulo, SP 14049-900 Ribeirao Preto, Brazil ; Ribeirao Preto Nursing School, University of Sao Paulo, SP 14049-900 Ribeirao Preto, Brazil.
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.
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