The Impact of Implementation of Bundle to Reduce Catheter-Related Bloodstream Infection Rates

Mayra Goncalves Menegueti, Kym Marcel Martins Ardison, Fernando Bellissimo-Rodrigues, Gilberto Gambero Gaspar, Olindo Assis Martins-Filho, Marcelo Lourencini Puga, Ana Maria Laus, Anibal Basile-Filho, Maria Auxiliadora-Martins


Background: The aim of the study was to investigate how control bundles reduce the rate of central venous catheter-associated bloodstream infections (CVC-BSIs) rates in critically ill patients.

Methods: This is a prospective before-and-after study designed to evaluate whether a set of control measures (bundle) can help prevent CVC-BSI. The bundles included a checklist that aimed to correct practices related to CVC insertion, manipulation, and maintenance based on guidelines of the Center for Disease Control and Prevention (CDC).

Results: We examined 123 checklists before and 155 checklists after implementation of the training program. Compared with the pre-intervention period, CVC-BSI rates decreased. Hand hygiene techniques were used correctly. CVC-BSI incidence was 9.3 and 5.1 per 1,000 catheter-days before and after the training program, respectively.

Conclusions: The implementation of a bundle and training program effectively reduces CVC-BSI rates.

J Clin Med Res. 2015;7(11):857-861


Intensive care unit; Catheter-related bloodstream infection; Central venous catheter; Educational intervention

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