Achieving zero CLABSI following implementation of central line bundles

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“In 2013, we further introduced the central line bundle, including (1) hand hygiene, (2) maximal sterile barriers, (3) chlorhexidine gluconate for skin preparation, and (4) avoidance of femoral vein as an access site” Tang et al (2015).

Reference:

Tang, H-J., Chao, C-M., Leung, P-O. Lai, C-C. (2015) Achieving “Zero” CLABSI and VAP after Sequential Implementation of Central Line Bundle and Ventilator Bundle. Infection Control & Hospital Epidemiology. 36(3), p.364-365.

Extract:

“This study was performed at a regional teaching hospital in a medical ICU that has 7 adult ICU beds and 1 intensivist. In 2011, we introduced the ventilator bundle, which includes (1) maintenance a semi-recumbent position (ie, 30°–45° eleva- tion of the head to the bed), (2) daily interruption of sedation, (3) daily spontaneous breathing trials, (4) performance of oral care with an antiseptic solution (ie, 0.2% chlorhexidine gluco- nate), and (5) maintenance of endotracheal tube cuff pressure >20cm H2O. In 2013, we further introduced the central line bundle, including (1) hand hygiene, (2) maximal sterile barriers, (3) chlorhexidine gluconate for skin preparation, and (4) avoidance of femoral vein as an access site. Our maintenance bundle includes (1) hand hygiene, (2) proper dressing change, (3) aseptic technique for accessing and changing needleless connector, and (4) daily catheter review.”

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