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

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Version 1 2016-10-10, 10:07
journal contribution
posted on 2015-03-16, 00:00 authored by D Entesari-Tatafi, Neil OrfordNeil Orford, M J Bailey, M N I Chonghaile, J Lamb-Jenkins, Eugene AthanEugene Athan
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.

History

Journal

Medical journal of Australia

Volume

202

Issue

5

Pagination

247 - 250

Publisher

Australasian Medical Publishing Company

Location

Strawberry Hills, N.S.W.

ISSN

0025-729X

eISSN

1326-5377

Language

eng

Publication classification

C Journal article; C1.1 Refereed article in a scholarly journal

Copyright notice

2015, Australasian Medical Publishing Company

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