The Effect of a Care Bundle on the Rate of Blood Culture Contamination in a General Intensive Care Unit
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Implementing a blood culture (BC) care bundle significantly reduced BC contamination rates from 6.2% to 1.3% in a high-workload ICU. This intervention also improved overall quality indicators for blood cultures.
Area Of Science
- Clinical Microbiology
- Infectious Diseases
- Healthcare Quality Improvement
Background
- Blood culture (BC) contamination is a prevalent issue.
- Contamination leads to increased workload, antibiotic misuse, adverse events, and higher healthcare costs.
Purpose Of The Study
- To prospectively evaluate the impact of a care bundle intervention on BC contamination rates.
- To assess the effect on other BC quality indicators in a high-workload intensive care unit (ICU).
Main Methods
- A before-after study design was employed in a general ICU from January 2018 to May 2019.
- An intervention involving a BC care bundle was implemented in November 2018.
- Bivariate and interrupted time series analyses were used to assess changes in contamination rates and quality indicators.
Main Results
- BC contamination rates significantly decreased from 6.2% to 1.3% post-intervention.
- The incidence of contaminated BC sets per 100 ICU bed-days dropped from 0.461 to 0.154.
- Compliance with the BC care bundle increased substantially from 3.4% to 96.9%.
Conclusions
- The BC care bundle effectively reduced BC contamination rates and improved quality indicators.
- The study suggests including the indeterminate BC rate as a key quality indicator.
- The long-term effectiveness of the intervention was not evaluated.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...