72 Eradicating CLABSI in the Burn Center Through Nursing Education Interventions

Strait, Eli; Cabrera, J; Garner, Jen; Lee, J

doi:10.1093/jbcr/irz013.074

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Central-line-associated bloodstream infection (CLABSI) is a known complication of central line with significant morbidity and mortality (Blot et al, 2005;Umscheid et al, 2011;Ziegler et al, 2015). Multiple studies have been established to reduce the CLABSI rates in intensive care unit (ICU) by implementing central line care bundles (Guerin et al, 2010;Miller et al, 2011;Marsteller et al, 2012;Latif et al, 2015;Albadawi et al, 2019;Strait et al, 2019). Generally, the principle of these care bundles involves five evidence-based practices established by Johns Hopkins Quality and Safety Research Group (Berenholtz et al, 2004;Pronovost et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Reduction of central-line-associated bloodstream infection (CLABSI) in resource limited, nonintensive care unit (ICU) settings

Poh

Ngan

Wong

et al. 2020

IJHCQA

View full text Add to dashboard Cite

PurposeThere was limited study available on successful intervention for central-line-associated bloodstream infection (CLABSI) done at nonintensive care unit (ICU) and resources-limited setting. The objective of this study was to design, implement and evaluate a strategy to reduce CLABSI rate in non-ICU settings at general medical wards of Hospital Tuanku Ja'afar Seremban.Design/methodology/approachPreinterventional study was conducted in one-month period of January 2019, followed by intervention period from February to March 2019. Postintervention study was conducted from April to July 2019. The CLABSI rates were compared between pre and postintervention periods. A multifaceted intervention bundle was implemented, which comprised (1) educational program for healthcare workers, (2) weekly audit and feedback and (3) implementation of central line bundle of care.FindingsThere was a significant overall reduction of CLABSI rate between preintervention and postintervention period [incidence rate ratio (IRR) of 0.06 (95 percent CI, 0.01–0.33; P = 0.001)].Practical implicationsCLABSI rates were reduced by a multifaceted intervention bundle, even in non-ICU and resource-limited setting. This includes a preinterventional study to identify the risk factors followed by a local adaption of the recommended care bundles. This study recommends resources-limited hospitals to design a strategy that is suitable for their own local setting to reduce CLABSI.Originality/valueThis study demonstrated the feasibility of a multifaceted intervention bundle that was locally adapted with an evidence-based approach to reduce CLABSI rate in non-ICU and resource-limited setting.

show abstract