2014
DOI: 10.1016/j.ajic.2014.02.026
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Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections

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Cited by 39 publications
(21 citation statements)
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“…Hand hygiene practices were promoted by staff education and auditing, and previously implemented hospital-wide prevention interventions for central venous catheter-associated bloodstream infections and hospital-onset urinary tract infections were continued. 9,10 Post-intervention period Following the intervention, further auditing of process was performed ('post-intervention period'), using the standard audit tool applied during the pre-intervention period. PIVCassociated SAB rates during the 27-month post-intervention period (September 2013 to November 2015) were determined as an evaluable outcome measure.…”
Section: Intervention Periodmentioning
confidence: 99%
“…Hand hygiene practices were promoted by staff education and auditing, and previously implemented hospital-wide prevention interventions for central venous catheter-associated bloodstream infections and hospital-onset urinary tract infections were continued. 9,10 Post-intervention period Following the intervention, further auditing of process was performed ('post-intervention period'), using the standard audit tool applied during the pre-intervention period. PIVCassociated SAB rates during the 27-month post-intervention period (September 2013 to November 2015) were determined as an evaluable outcome measure.…”
Section: Intervention Periodmentioning
confidence: 99%
“…O período pré-intervenção foi constituído pelo preparo da instituição e diagnóstico situacional, nos quais avaliaram os protocolos e rotinas das instituições em 90% dos artigos (12)(13)(14)(15)(16)(17)(18)(19)(20) e em 50% realizam análises retrospectiva das taxas de infecção da corrente sanguínea relacionadas ao CVC 14,16,[19][20][21] . A duração da implantação dessa fase variou entre 3 a 36 meses.…”
Section: Resultsunclassified
“…Desta forma, os profissionais responsáveis pela manutenção e inserção do cateter participaram de treinamentos sobre essa temática. A condução desses treinamentos foi diferente entre os estudos, alguns realizaram grupos de discussão 12,18 ; workshop com palestras, vídeos dos procedimentos de inserção e cuidados com o CVC e simulação dessas práticas 13,20 ; palestras e distribuição de cartilhas com as recomendações preconizadas [14][15][16][17]19,21 . As medidas implementadas durante o período de intervenção estavam relacionadas à inserção e manutenção do CVC e estão apresentadas a seguir:…”
Section: Resultsunclassified
“…Therefore, knowledge on the manner in which such CRIs can be reduced or eliminated is important. A central line bundle (CLB) guideline was first proposed by the Institute for Healthcare Improvement, and included five key measures—namely, hand hygiene, maximum sterility, chlorhexidine skin disinfection, choosing the best puncture site, and daily assessment of whether to remove the catheter [6]. These measures have been proven to effectively reduce the occurrence of catheter-related bloodstream infections (CRBSIs) [7, 8].…”
Section: Introductionmentioning
confidence: 99%