Effectiveness of insertion care bundle to prevent Central-line-associated bloodstream infections at Pediatric ICU
1 Department of Nursing, National & Kapodistrian University of Athens, Athens, Greece.
2 Department of Nursing, University of Peloponnese, Tripolis, Greece.
3 General Hospital “G. Chatzikosta” Ioannina, Greece.
Research Article
International Journal of Life Science Research Archive, 2022, 03(02), 103-112.
Article DOI: 10.53771/ijlsra.2022.3.2.0129
Publication history:
Received on 06 October 2022; revised on 19 November 2022; accepted on 21 November 2022
Abstract:
Purpose: Central-line-associated bloodstream infections are the most common healthcare- associated- associated infections in Pediatric intensive care units worldwide. The aim of this survey was to quantify the impact of central-line care bundle insertion to the prevention Central-line-associated bloodstream infections in a Greek Pediatric Intensive Care Unit.
Methods: All patients with non- tunneled central venous catheter admitted to the unit between October 2012 and October 2015 were included in the cohort study. After twenty-six months of surveillance, a Central-line-associated bloodstream infections prevention insertion bundle was introduced. The insertion bundle derived from the Centers for Disease Control and Prevention recommendations.
Results: One hundred fifty one patients were enrolled in the present study. The incidence rates of CLABSIs decreased from 14.0 (pre-intervention period) to 4.8 (post-intervention period) per 1000 central venous catheter-days (p = 0.041, 95% Confidence Interval: 0.7023- 17.7), whilst the central-line utilization ratio was increased from 0.51 to 0.59 (p=<0.002, 95% Confidence Interval: 0.039-0.1258). The insertion-bundle compliance was 95.3% in the post- intervention period.
Conclusions: According to the results the implementation of insertion bundle has the potential to reduce the incidence of Central-line-associated bloodstream infections. A prevention strategy targeted on the insertion of vascular access can decrease the incidence rates of Central-line-associated bloodstream in pediatric intensive care units.
Keywords:
Care bundle; Children; CLABSI; Pediatric Intensive Care Unit; Prevent
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