Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric ward

Autor: Ana C. Guerrero-Díaz, Daniela de la Rosa-Zamboni, Ma. A. Martin-Martin, Isabel Rosas-Mateos, Marisol Medina-Pelcastre, Margarita Torres-García, Almudena Laris-González, Martha Avilés-Robles
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2024
Předmět:
Zdroj: Boletín Médico del Hospital Infantil de México, Vol 81, Iss 3 (2024)
Druh dokumentu: article
ISSN: 0539-6115
DOI: 10.24875/BMHIM.23000134
Popis: 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.
Databáze: Directory of Open Access Journals