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
Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital
Epidemiology & Infection. 2016, 144(9): 2011-2017. doi:10.1017/S0950268815003313
URI: http://hdl.handle.net/10045/63052
DOI: 10.1017/S0950268815003313
ISSN: 0950-2688 (Print)
Abstract: 
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.
Keywords:Catheter-related bloodstream infection, Central venous catheter, Prevention, Programme evaluation
Cambridge University Press
info:eu-repo/semantics/article