Effectiveness of a catheter-associated bloodstream infection bundle in a Thai tertiary care center: A 3-year study
| Autor: | Anucha Apisarnthanarak, Kanokporn Thongphubeth, Victoria J. Fraser, Chananart Yuekyen, David K. Warren |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Catheterization Central Venous medicine.medical_specialty Pediatrics Adolescent Epidemiology media_common.quotation_subject Psychological intervention Bacteremia Tertiary care Young Adult Catheters Indwelling Hygiene medicine Humans Infection control Prospective Studies Aged media_common Aged 80 and over Cross Infection Infection Control business.industry Health Policy Incidence (epidemiology) Public Health Environmental and Occupational Health Middle Aged Thailand medicine.disease Hospitals Catheter Infectious Diseases Catheter-Related Infections Emergency medicine Female business |
| Zdroj: | American Journal of Infection Control. 38:449-455 |
| ISSN: | 0196-6553 |
| DOI: | 10.1016/j.ajic.2009.08.017 |
| Popis: | We sought to determine the long-term impact of "bundled" infection control interventions on the rates of catheter-associated bloodstream infection (CA-BSI) in a middle-income country.A 500-bed tertiary care center in Thailand.A 3-year, hospital-wide, prospective quasi-experimental study was conducted for 1 year before the intervention (period 1), 1 year after implementation of the CA-BSI bundle (period 2), and at a 1-year follow-up after the intervention with intensified hand hygiene promotion (period 3).In period 1, 88 episodes of CA-BSI (14 cases per 1000 catheter-days) were recorded. During period 2, the CA-BSI rate decreased by 54.1 % (6.4 cases per 1000 catheter-days; P.001). Compared with period 1 (8% adherence), hand hygiene adherence was improved in period 2 (24%; P.001) and period 3 (54%; P.001). The CA-BSI rate was further decreased by 78% (1.4 cases per 1000 catheter-days; P.001) during period 3. Notably, no CA-BSIs were seen in 6 of the 12 months (50%) of period 3. Compared with period 1, the mean number of catheter-days was significantly reduced in period 2 (4.9 +/- 1.5 days; P.001) and period 3 (4.1 +/- 1.1 days; P.001).Bundled infection control practices are feasible and effective in sustaining reduced incidence of CA-BSI in patients with central venous catheters in a resource-limited setting. |
| Databáze: | OpenAIRE |
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