CVC Bundle implementation

0

Intravenous literature: Apisarnthanarak, A., Thongphubeth, K., Yuekyen, C., Warren, D.K. and Fraser, V.J. (2010) Effectiveness of a catheter-associated bloodstream infection bundle in a Thai tertiary care center: A 3-year study. American Journal of Infection Control. 38(6), p.449-455.

Abstract:

Background – We sought to determine the long-term impact of “bundled” infection control interventions on the rates of catheter-associated bloodstream infection (CA-BSI) in a middle-income country.

Setting – A 500-bed tertiary care center in Thailand.

Methods – A 3-year, hospital-wide, prospective quasi-experimental study was conducted for 1 year before the intervention (period 1), 1 year after implementation of the CA-BSI bundle (period 2), and at a 1-year follow-up after the intervention with intensified hand hygiene promotion (period 3).

Results – In period 1, 88 episodes of CA-BSI (14 cases per 1000 catheter-days) were recorded. During period 2, the CA-BSI rate decreased by 54.1 % (6.4 cases per 1000 catheter-days; P <.001). Compared with period 1 (8% adherence), hand hygiene adherence was improved in period 2 (24%; P <.001) and period 3 (54%; P <.001). The CA-BSI rate was further decreased by 78% (1.4 cases per 1000 catheter-days; P <.001) during period 3. Notably, no CA-BSIs were seen in 6 of the 12 months (50%) of period 3. Compared with period 1, the mean number of catheter-days was significantly reduced in period 2 (4.9 ± 1.5 days; P <.001) and period 3 (4.1 ± 1.1 days; P <.001).

Conclusion – Bundled infection control practices are feasible and effective in sustaining reduced incidence of CA-BSI in patients with central venous catheters in a resource-limited setting.

Main page

Share.

Comments are closed.

Free Email Updates
Join 5.5K IVTEAM members. Subscribe now and be the first to receive all the latest free updates from IVTEAM!
100% Privacy. We don't spam.