Audit of passive disinfection prior to accessing vascular access devices

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This article discusses the effect on compliance and incidence of vascular access device (VAD)-related bacteraemia following the introduction of a passive disinfection device (Curos®) for 6 months in four areas at one hospital trust” Cameron-Watson (2016).

Abstract:

This article discusses the effect on compliance and incidence of vascular access device (VAD)-related bacteraemia following the introduction of a passive disinfection device (Curos®) for 6 months in four areas at one hospital trust. The hospital’s infection prevention and control team replaced the ‘active’ disinfection using a disinfection wipe with ‘scrub the hub’.

Disinfection wipes used for needle-free devices were removed from all four trial areas and Curos was incorporated into the aseptic non-touch technique (ANTT®) protocols for the trial wards. Staff training was provided before and during the study, and audits of staff compliance with Curos placement were undertaken monthly. A benchmarking audit of ‘scrub the hub’ techniques was conducted 1 month before audit began. The results of the audit showed VAD-related bacteraemia rates reduced by 69% from 26 cases (confirmed through review of blood culture laboratory data and source identified by consultant microbiologists) before the study, to 8 when staff compliance with Curos placement onto VADs was 80% or more.

Reference:

Cameron-Watson, C. (2016) Port protectors in clinical practice: an audit. British Journal of Nursing. 25(8), p.S25-31.

doi: 10.12968/bjon.2016.25.8.S25.

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