Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric ward.
| Autor: | Guerrero-Díaz AC; Departamento de Epidemiología., Rosa-Zamboni D; Departamento de Atención Integral al Paciente., Martin-Martin MA; Departamento de Pediatría., Rosas-Mateos I; Departamento de Epidemiología., Medina-Pelcastre M; Departamento de Epidemiología., Torres-García M; Departamento de Epidemiología., Laris-González A; Departamento de Infectología. Hospital Infantil de México Federico Gómez, Mexico City, Mexico., Avilés-Robles M; Departamento de Infectología. Hospital Infantil de México Federico Gómez, Mexico City, Mexico. |
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| Jazyk: | angličtina |
| Zdroj: | Boletin medico del Hospital Infantil de Mexico [Bol Med Hosp Infant Mex] 2024; Vol. 81 (3), pp. 182-190. |
| DOI: | 10.24875/BMHIM.23000134 |
| Abstrakt: | Background: Central line-associated bloodstream infections (CLABSIs) are among the most epidemiologically relevant health care-associated infections. The aseptic non-touch technique (ANTT) is a standardized practice used to prevent CLABSIs. In a pediatric hospital, the overall CLABSI rate was 1.92/1000 catheter days (CD). However, in one unit, the rate was 5.7/1000 CD. Methods: Nurses were trained in ANTT. For the implementation, plan-do-study-act (PDSA) cycles were completed. Adherence monitoring of the ANTT and epidemiological surveillance were performed. Results: ANTT adherence of 95% was achieved after 6 PDSA cycles. Hand hygiene and general cleaning reached 100% adherence. Port disinfection and material collection had the lowest adherence rates, with 76.2% and 84.7%, respectively. The CLABSI rate decreased from 5.7 to 1.26/1000 CD. Conclusion: The implementation of ANTT helped reduce the CLABSI rate. Training and continuous monitoring are key to maintaining ANTT adherence. (Copyright: © 2024 Permanyer.) |
| Databáze: | MEDLINE |
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