Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
The objective of this study was to assess the effectiveness of a catheter-related bloodstream infection (CR BSI) reduction programme and healthcare workers' compliance with recommendations. A 3-year surveillance programme of CR BSIs in all hospital settings was implemented. As part of the progr...
| Autores: | , , , , , , , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2016 |
| País: | España |
| Recursos: | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| Repositório: | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| OAI Identifier: | oai:isabial.fundanetsuite.com:p1324 |
| Acesso em linha: | https://isabial.portalinvestigacion.com/publicaciones1324 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Catheter-related bloodstream infection central venous catheter prevention programme evaluation |
| Resumo: | The objective of this study was to assess the effectiveness of a catheter-related bloodstream infection (CR BSI) reduction programme and healthcare workers' compliance with recommendations. A 3-year surveillance programme of CR BSIs in all hospital settings was implemented. As part of the programme, there was a direct observation of insertion and maintenance of central venous catheters (CVCs) to determine performance. A total of 38 education courses were held over the study period and feedback reports with the results of surveillance and recommendations were delivered to healthcare workers every 6 months. A total of 6722 short-term CVCs were inserted in 4982 patients for 58 763 catheter-days. Improvements of compliance with hand hygiene was verified at the insertion (87.1-100%, P < 0.001) and maintenance (51.1-72.1%, P = 0.029) of CVCs; and the use of chlorhexidine for skin disinfection was implemented at insertion (35.7-65.4%, P < 0.001) and maintenance (33.3-45.9%, P < 0.197) of CVCs. There were 266 CR BSI incidents recorded with an annual incidence density of 5.75/1000 catheter-days in the first year, 4.38 in the second year [rate ratio (RR) 0.76, 95% confidence interval (CI) 0.57-1.01] and 3.46 in the third year (RR 0.60, 95% CI 0.44-0.81). The education programme clearly improved compliance with recommendations for CVC handling, and was effective in reducing the burden of CR BSIs. |
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