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...

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Autores: Martinez-Morel, H. R., Sanchez-Paya, J., Garcia-Shimizu, P., Mendoza-Garcia, J. L., Tenza-Iglesias, I., Rodriguez-Diaz, J. C., Merino-De-Lucas, E., Nolasco, A.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Recursos:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio: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 abierto
Palavra-chave:Catheter-related bloodstream infection
central venous catheter
prevention
programme evaluation
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spelling Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospitalMartinez-Morel, H. R.Sanchez-Paya, J.Garcia-Shimizu, P.Mendoza-Garcia, J. L.Tenza-Iglesias, I.Rodriguez-Diaz, J. C.Merino-De-Lucas, E.Nolasco, A.Catheter-related bloodstream infectioncentral venous catheterpreventionprogramme evaluationThe 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.CAMBRIDGE UNIV PRESS2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones1324Epidemiology & InfectionISSN: 09502688ISSNe: 14694409reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p13242026-06-12T10:20:37Z
dc.title.none.fl_str_mv Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
title Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
spellingShingle Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
Martinez-Morel, H. R.
Catheter-related bloodstream infection
central venous catheter
prevention
programme evaluation
title_short Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
title_full Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
title_fullStr Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
title_full_unstemmed Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
title_sort Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
dc.creator.none.fl_str_mv Martinez-Morel, H. R.
Sanchez-Paya, J.
Garcia-Shimizu, P.
Mendoza-Garcia, J. L.
Tenza-Iglesias, I.
Rodriguez-Diaz, J. C.
Merino-De-Lucas, E.
Nolasco, A.
author Martinez-Morel, H. R.
author_facet Martinez-Morel, H. R.
Sanchez-Paya, J.
Garcia-Shimizu, P.
Mendoza-Garcia, J. L.
Tenza-Iglesias, I.
Rodriguez-Diaz, J. C.
Merino-De-Lucas, E.
Nolasco, A.
author_role author
author2 Sanchez-Paya, J.
Garcia-Shimizu, P.
Mendoza-Garcia, J. L.
Tenza-Iglesias, I.
Rodriguez-Diaz, J. C.
Merino-De-Lucas, E.
Nolasco, A.
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Catheter-related bloodstream infection
central venous catheter
prevention
programme evaluation
topic Catheter-related bloodstream infection
central venous catheter
prevention
programme evaluation
description 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.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones1324
url https://isabial.portalinvestigacion.com/publicaciones1324
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv CAMBRIDGE UNIV PRESS
publisher.none.fl_str_mv CAMBRIDGE UNIV PRESS
dc.source.none.fl_str_mv Epidemiology & Infection
ISSN: 09502688
ISSNe: 14694409
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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