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

The Medical Journal of Australia
Damoon Entesari-TatafiEugene Athan

Abstract

To determine the effectiveness of a care bundle, with a novel line maintenance procedure, in reducing the rate of central line-associated bloodstream infection (CLABSI) in the intensive care unit (ICU). Before-and-after study using CLABSI data reported to the Victorian Healthcare Associated Infection Surveillance System (VICNISS), in adult patients admitted to a tertiary adult ICU in regional Victoria between 1 July 2006 and 30 June 2014. VICNISS-reported CLABSI cases were reviewed for verification. An intervention was implemented in 2009. The care bundle introduced in 2009 included a previously established line insertion procedure and a novel line maintenance procedure comprising Biopatch, daily 2% chlorhexidine body wash, daily ICU central line review, and liaison nurse follow-up of central lines. CLABSI rate (cases per 1000 central line days). The average CLABSI rate fell from 2.2/1000 central line days (peak of 5.2/1000 central line days in quarter 4, 2008) during the pre-intervention period to 0.5/1000 central line days (0/1000 central line days from July 2012 to July 2014) during the post-intervention period. Our study suggests that this care bundle, using a novel maintenance procedure, can effectively reduce the CLABSI r...Continue Reading

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Citations

Oct 7, 2015·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·I-Ling ChenFu-Yuan Huang
Jan 16, 2016·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Janis BurnsNicholas A Barrett
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Sep 12, 2019·Internal Medicine Journal·H Carl Hanger, Michelle Bloor
Feb 20, 2020·World Journal of Emergency Surgery : WJES·Massimo SartelliFausto Catena

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