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  • Title: [Implementation of an insertion bundle for preventing central line-associated bloodstream infections in an Intensive Care Unit in Colombia].
    Author: Osorio J, Álvarez D, Pacheco R, Gómez CA, Lozano A.
    Journal: Rev Chilena Infectol; 2013 Oct; 30(5):465-73. PubMed ID: 24248159.
    Abstract:
    BACKGROUND: Central line-associated bloodstream infections (CLABSI) related to insertion and device care in intensive care units are frequent and preventable events. AIM: To evaluate the reduction in the rate of CLABSI through implementation of an insertion bundle. METHODS: A study was conducted in the Adult-ICU at the University Hospital of Neiva comparing a pre-interventional period with an interventional one, each lasting 6 months; the intervention consisting of implementing a bundle of measures for the insertion of central venous catheters (CVC). In the pre-intervention period (2010) the rate of CLABSI and the population's characteristics were evaluated. The bundle for the insertion of the CVC consisted in: hands hygiene, use of 2% clorhexidine, maximum sterile barriers and avoiding femoral access. RESULTS: The rate of CLABSI decreased from 5.56 to 3.26 per 1000 catheter days. The length of ICU stay and catheter duration were associated with a higher risk of infection associated to these devices (p < 0.05). Compliance with the bundle is a protective factor against the development of CLABSI (OR 0.45, p = 0.615). The staff adherence to the bundle was over 80%. CONCLUSION: Implementing a Central Line Insertion Bundle proved to be a useful measure in prevention of CLABSI in our hospital. This strategy could be implemented in other hospitals of similar complexity.
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