Port protectors in clinical practice: an audit

Area of Science:

• Healthcare-associated Infections
• Infection Prevention and Control
• Medical Device Microbiology

Background:

• Vascular access device (VAD)-related bacteraemia poses a significant risk in healthcare settings.
• Traditional disinfection methods may have variable compliance and effectiveness.
• The introduction of passive disinfection devices offers a potential improvement in VAD care.

Purpose of the Study:

• To evaluate the impact of a passive disinfection device (Curos®) on VAD-related bacteraemia rates.
• To assess staff compliance with the new disinfection protocol.
• To compare incidence rates before and after implementation.

Main Methods:

• A 6-month study in four hospital areas introducing Curos® passive disinfection devices.
• Transition from active disinfection wipes to 'scrub the hub' with Curos® integration into aseptic non-touch technique (ANTT®) protocols.
• Monthly compliance audits and benchmarking of disinfection techniques.

Main Results:

• VAD-related bacteraemia rates decreased by 69%, from 26 to 8 cases.
• This reduction was observed when staff compliance with Curos® placement reached 80% or higher.
• The study demonstrated a strong correlation between compliance and infection reduction.

Conclusions:

• Passive disinfection devices, when used with proper technique and high compliance, can significantly reduce VAD-related bacteraemia.
• Curos® integration into ANTT® protocols is an effective strategy for infection control.
• Sustained compliance is crucial for maximizing the benefits of new disinfection technologies.