Effectiveness of a care bundle to reduce central line‐associated bloodstream infections

2015 ◽  
Vol 203 (3) ◽  
pp. 138-138 ◽  
Author(s):  
Damoon Entesari‐Tatafi ◽  
Neil Orford ◽  
Eugene Athan
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

Reducing central catheter-associated infections in pediatric surgery clinic: Implementation of a care bundle

2021 ◽  
Vol 11 (1) ◽  
pp. 57-65
Author(s):  
Eda Dolgun ◽  
Okgün Alcan Aliye ◽  
Ayşe Islamoğlu ◽  
Birsen Eroğlu ◽  
Meltem Polat ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Healthcare Professionals ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Recovery Process ◽  
Central Line ◽  
Care Bundle ◽  
Central Venous ◽  
Implementation Period ◽  
Bundle Compliance

Purpose: Central line care bundle comprises a few evidence-based interventions for improving patients' outcomes and recovery process. This semi-experimental study aimed to determine the effect of pediatric central line care bundle implementation on central line-associated bloodstream infections (CLABSI) rates. Materials and methods: A central line care bundle was implemented for pediatric surgery patients (n=70). Baseline observations were made to determine the central line care bundle compliance of healthcare professionals for 435 catheter days. Subsequently, physicians and nurses were educated about the central line care bundle. After the implementation period, 722 catheter days were observed to determine post-implementation compliance. Baseline CLABSI rates were compared with post-implementation CLABSI rates. Results: It was found that the entire central line care bundle compliance was 32.4% pre-implementation and 86.3% post-implementation. After education, the physicians' and nurses' central line care bundle compliance showed statistically significant improvement (p= 0.0001). There were five CLABSI events in the pre-implementation period and three CLABSI events in the post-implementation period. It was determined that the number of CLABSI decreased in the post-implementation period compared to the pre-implementation period, but this difference was not statistically significant (p= 0.207). Conclusions: Central line care bundle implementation decreased the CLABSI rates. It is recommended the Implementation of a central line care bundle on the care of pediatric surgery patients with the central venous catheter.

scholarly journals Effect of Care Bundle Education Program on Nurses’ Performance Regarding Central Line-Associated Blood Stream Infection in High Risk Neonates

2020 ◽  
Vol 2 (2) ◽  
pp. 13
Author(s):  
Safaa A. F. Abou Zed ◽  
Amira A. Mohammed
Keyword(s):  
High Risk ◽  
Bloodstream Infection ◽  
Education Program ◽  
Bloodstream Infections ◽  
Structured Interview ◽  
Central Line ◽  
Care Bundle ◽  
Post Test ◽  
And Performance ◽  
Nurses Knowledge

Context: Catheter-related bloodstream infections are the most common type of nosocomial infections among those populations. Central line-associated bloodstream infection (CLABSI) is a preventable complication of the use of CVC. Aim: This study aimed to evaluate the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infections in high-risk neonates. Through the following: assessing nurses' knowledge and performance regarding central line-associated bloodstream infection in high-risk neonates, designing, implementing and evaluating the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infection in high-risk neonates. Methods: A quasi-experimental (pre/post-test) design was utilized to conduct this study at neonatal intensive care units affiliated to Ain Shams University Hospitals and Teaching Hospitals in Cairo. A convenient sample of forty-five 45 nurses was included in the study as a single study group. A structured interview questionnaire, nurses’ observation checklists were used to evaluate the effect of care bundle education on nurses’ performance regarding central line-associated bloodstream infection in high-risk neonates. The care bundle education program was premeditated as reference guidelines for nurses. Results: There were statistically significant differences between mean scores of the pre and post-test as regards nurses’ knowledge and practices regarding central line-associated bloodstream infection in high-risk neonates. Conclusion: The study revealed an unsatisfactory knowledge as well as an incompetent practice among nurses regarding central line-associated bloodstream infections in high-risk neonates before the care bundle education program. The research hypotheses are supported, and the care bundle education program achieved a significant improvement in nurses’ knowledge and performance regarding CLABSI in high-risk neonates. The current study recommended establishing educational centers in all hospitals for educating and updating the knowledge and performance of new nursing staff working in NICUs and supporting them by instructional brochure and illustrative booklets.

scholarly journals Central line-associated bloodstream infections in the intensive care unit: importance of the care bundle

2016 ◽  
Vol 69 (6) ◽  
pp. 599 ◽  
Author(s):  
Aynur Atilla ◽  
Zahide Doğanay ◽  
Hale Kefeli Çelik ◽  
Leman Tomak ◽  
Özgür Günal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle

2010 ◽  
Vol 38 (6) ◽  
pp. 430-433 ◽  
Author(s):  
Karen Guerin ◽  
Julia Wagner ◽  
Keith Rains ◽  
Mary Bessesen
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

Orchestrated Testing

2016 ◽  
Vol 32 (1) ◽  
pp. 87-92
Author(s):  
Eugenia K. Pallotto ◽  
John Chuo ◽  
Anthony J. Piazza ◽  
Lloyd Provost ◽  
Theresa R. Grover ◽  
...  
Keyword(s):  
Health Care Quality ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Quality ◽  
Care Bundle ◽  
Care Bundles ◽  
Health Care Quality Improvement ◽  
Quality Improvement Collaboratives ◽  
Quantitative Impact ◽  
Specific Health

Health care quality improvement collaboratives implement care bundles to target critical parts of a complex system to improve a specific health outcome. The quantitative impact of each component of the care bundle is often unknown. Orchestrated testing (OT) is an application of planned experimentation that allows simultaneous examination of multiple practices (bundle elements) to determine which intervention or combination of interventions affects the outcome. The purpose of this article is to describe the process needed to design and implement OT methodology for improvement collaboratives. Examples from a multicenter collaborative to reduce central line–associated bloodstream infections highlight the practical application of this approach. The key components for implementation of OT are the following: (1) define current practice and evidence, (2) develop a factorial matrix and calculate power, (3) formulate structure for engagement, (4) analyze results, and (5) replicate findings.

scholarly journals Effectiveness of a care bundle to reduce central line‐associated bloodstream infections

2015 ◽  
Vol 202 (5) ◽  
pp. 247-249 ◽  
Author(s):  
Damoon Entesari‐Tatafi ◽  
Neil Orford ◽  
Michael J Bailey ◽  
Martina N I Chonghaile ◽  
Jill Lamb‐Jenkins ◽  
...  
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

scholarly journals Two-Year Surveillance of Central-Line–Associated Bloodstream Infections in Non-ICU Wards in a Dutch Teaching Hospital

2020 ◽  
Vol 41 (S1) ◽  
pp. s419-s420
Author(s):  
Veronica Weterings ◽  
Rinske Boersma ◽  
Breda Miranda van Rijen ◽  
Tom Rijpstra ◽  
Jan Kluytmans
Keyword(s):  
The Netherlands ◽  
Teaching Hospital ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle ◽  
Coagulase Negative Staphylococci ◽  
Surveillance Network ◽  
Modern Health Care ◽  
Present On Admission ◽  
Severe Mucositis

Background: Central-line–associated bloodstream infections (CLABSIs) are serious complications of modern health care, leading to increased morbidity, mortality, and costs. Since 2012, a multimodal insertion and care bundle for central venous catheters (CVCs) has been implemented in the intensive care unit (ICU) of the Amphia Hospital Breda, The Netherlands. The implementation of this bundle was associated with sustainable low CLABSI rates (1 per 1,000 CVC days). There was no surveillance of CLABSI in the other departments of the hospital. Objectives: We implemented semiautomated surveillance for CLABSI in non-ICU inpatients. Methods: A single-center, retrospective study was conducted in a 1,370-bed teaching hospital in The Netherlands between January 2017 and December 2018. All hospitalized patients (aged ≥18 years) in non-ICU wards, with a CVC inserted, were screened for CLABSI. CLABSIs were diagnosed using the definitions of the national nosocomial surveillance network PREZIES, excluding infections already present on admission and secondary bloodstream infection. CLABSI rates were calculated as cases per 1,000 CVC days with 95% CIs. Results: In 2017, 14 CLABSI were reported during 4,656 CVC days (3.0 per 1,000 CVC days; 95% CI, 1.8–5.1). In 2018, 13 CLABSIs were reported during 4,995 catheter days (2.6 per 1,000 CVC days; 95% CI, 1.5–4.5). The mean duration of CVC days prior to CLABSI in 2017 and 2018 were 20 days (range, 4–28) and 14 days (range, 4–25), respectively. Most CLABSI events occurred in patients admitted to the hematology ward (13 of 27, 48.1%). Of those, 11 of 13 (84,6%) were patients with an acute myeloid leukemia (AML) and severe mucositis due to the intensive chemotherapy at the time of CLABSI. The remaining cases occurred in patients of 4 different surgical departments. Coagulase-negative staphylococci were the most common organisms recovered (25 of 27, 92.6%). Conclusions: To our knowledge, this is the first report of CLABSI-rates in non-ICU wards in the Netherlands. The CLABSI rates were higher in non-ICU wards compared to the ICU of our hospital. This difference was mainly because of the high CLABSI rate in the patients with AML.Funding: NoneDisclosures: None

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