Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
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Título: | Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital |
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Autor/es: | Martínez-Morel, Héctor R. | Sánchez-Payá, José | García-Shimizu, P. | Mendoza-García, José Luis | Tenza-Iglesias, Isidra | Rodríguez-Díaz, J.C. | Merino-De-Lucas, E. | Nolasco, Andreu |
Grupo/s de investigación o GITE: | Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Palabras clave: | Catheter-related bloodstream infection | Central venous catheter | Prevention | Programme evaluation |
Área/s de conocimiento: | Enfermería |
Fecha de publicación: | jul-2016 |
Editor: | Cambridge University Press |
Cita bibliográfica: | Epidemiology & Infection. 2016, 144(9): 2011-2017. doi:10.1017/S0950268815003313 |
Resumen: | The objective of this study was to assess the effectiveness of a catheter-related bloodstream infection (CR BSI) reduction programme and healthcare workers' compliance with recommendations. A 3-year surveillance programme of CR BSIs in all hospital settings was implemented. As part of the programme, there was a direct observation of insertion and maintenance of central venous catheters (CVCs) to determine performance. A total of 38 education courses were held over the study period and feedback reports with the results of surveillance and recommendations were delivered to healthcare workers every 6 months. A total of 6722 short-term CVCs were inserted in 4982 patients for 58 763 catheter-days. Improvements of compliance with hand hygiene was verified at the insertion (87·1–100%, P < 0·001) and maintenance (51·1–72·1%, P = 0·029) of CVCs; and the use of chlorhexidine for skin disinfection was implemented at insertion (35·7–65·4%, P < 0·001) and maintenance (33·3–45·9%, P < 0·197) of CVCs. There were 266 CR BSI incidents recorded with an annual incidence density of 5·75/1000 catheter-days in the first year, 4·38 in the second year [rate ratio (RR) 0·76, 95% confidence interval (CI) 0·57–1·01] and 3·46 in the third year (RR 0·60, 95% CI 0·44–0·81). The education programme clearly improved compliance with recommendations for CVC handling, and was effective in reducing the burden of CR BSIs. |
Patrocinador/es: | The programme was supported by the Carlos III Health Institute, Ministry of Science and Innovation of Spain (grant no. PI080881). Additional support was provided by the Foundation for Research of the General University Hospital of Alicante, Spain (grant nos. PC-06/2009, C-07/2010, C-04/2011). |
URI: | http://hdl.handle.net/10045/63052 |
ISSN: | 0950-2688 (Print) | 1469-4409 (Online) |
DOI: | 10.1017/S0950268815003313 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © Cambridge University Press 2016 |
Revisión científica: | si |
Versión del editor: | http://dx.doi.org/10.1017/S0950268815003313 |
Aparece en las colecciones: | INV - SALUD - Artículos de Revistas |
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2016_Martinez-Morel_etal_EpidemiolInfect_final.pdf | Versión final (acceso restringido) | 94,11 kB | Adobe PDF | Abrir Solicitar una copia |
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