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Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric

Ana C Guerrero-Díaz1, Daniela De la Rosa-Zamboni2, Ma A Martin-Martin3

  • 1Departamento de Epidemiología.

Boletin Medico Del Hospital Infantil De Mexico
|June 28, 2024
PubMed

Insights

Implementing the aseptic non-touch technique (ANTT) significantly reduced central line-associated bloodstream infections (CLABSIs) in a pediatric unit. Continuous training and monitoring are crucial for maintaining adherence and preventing infections.

Area of Science:

  • Healthcare epidemiology
  • Infection prevention and control
  • Patient safety

Background:

  • Central line-associated bloodstream infections (CLABSIs) are a significant healthcare-associated infection concern.
  • The aseptic non-touch technique (ANTT) is a key strategy for CLABSI prevention.
  • A pediatric unit experienced a high CLABSI rate of 5.7 per 1000 catheter days.

Purpose of the Study:

  • To implement and evaluate the effectiveness of the aseptic non-touch technique (ANTT) in reducing CLABSIs in a pediatric hospital unit.
  • To assess adherence to ANTT protocols among nursing staff.
  • To identify specific areas of ANTT requiring improvement.

Main Methods:

  • Nurses received comprehensive training in ANTT protocols.
  • Plan-do-study-act (PDSA) cycles were utilized for iterative implementation and refinement.
  • Ongoing monitoring of ANTT adherence and epidemiological surveillance for CLABSIs were conducted.

Main Results:

  • Achieved 95% adherence to ANTT after six PDSA cycles.
  • Hand hygiene and general cleaning adherence reached 100%.
  • CLABSI rates decreased substantially from 5.7 to 1.26 per 1000 catheter days.

Conclusions:

  • Successful implementation of ANTT led to a significant reduction in CLABSI rates.
  • Sustained adherence to ANTT protocols is essential for effective infection control.
  • Ongoing training and monitoring are critical for maintaining high adherence levels.
Abstract

Keywords:
Aseptic non-touch techniqueCentral line-associated blood stream infectionsInfecciones relacionadas con catéteres venosos centralesMejora de la calidadPediatricsPediatríaQuality improvementTécnica aséptica «no tocar»

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