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

Entesari-Tatafi, Damoon, Orford, Neil, Bailey, Michael J., Chonghaile, Martina N.I., Lamb-Jenkins, Jill and Athan, Eugene 2015, Effectiveness of a care bundle to reduce central line-associated bloodstream infections, Medical journal of Australia, vol. 202, no. 5, pp. 247-250, doi: 10.5694/mja14.01644.

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Title Effectiveness of a care bundle to reduce central line-associated bloodstream infections
Author(s) Entesari-Tatafi, Damoon
Orford, NeilORCID iD for Orford, Neil orcid.org/0000-0002-2285-9233
Bailey, Michael J.
Chonghaile, Martina N.I.
Lamb-Jenkins, Jill
Athan, EugeneORCID iD for Athan, Eugene orcid.org/0000-0001-9838-6471
Journal name Medical journal of Australia
Volume number 202
Issue number 5
Start page 247
End page 250
Total pages 4
Publisher Australasian Medical Publishing Company
Place of publication Strawberry Hills, N.S.W.
Publication date 2015-03-16
ISSN 0025-729X
Summary OBJECTIVE: 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).

DESIGN, PARTICIPANTS AND SETTING: 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.

INTERVENTION: 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.

MAIN OUTCOME MEASURES: CLABSI rate (cases per 1000 central line days). RESULTS: 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.

CONCLUSION: Our study suggests that this care bundle, using a novel maintenance procedure, can effectively reduce the CLABSI rate and maintain it at zero out to 2 years.
Language eng
DOI 10.5694/mja14.01644
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1103 Clinical Sciences
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Australasian Medical Publishing Company
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086568

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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