Decreasing Central Line-associated Bloodstream Infections Through Quality Improvement Initiative

Balla, Kalyan Chakravarthy; Rao, Suman; Arul, Celine; Shashidhar, A; Prashantha, Y N; Nagaraj, Savitha; Suresh, Gautham

doi:10.1007/s13312-018-1374-5

Cited by 38 publications

(33 citation statements)

References 10 publications

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“…For preterm birth related complications, the focus is on antenatal corticosteroids and provision of quality NICU care including oxygen, continuous positive air pressure and surfactant. Whereas, to combat sepsis the focus is on asepsis [20,21], chlorhexidine cord care (in areas with high NMR) [22,23], appropriate use of antibiotics, and topical emollient (natural plant oils) treatment for hospitalized infants [24]. Other interventions like exclusive breastfeeding, kangaroo care, thermoregulation, etc., influence both.…”

Section: Discussionmentioning

confidence: 99%

Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts

et al. 2019

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Objective To estimate the direct causes of mortality among preterm neonates <33 weeks' gestation by examining three large multicentric, hospital-based datasets in India. Method Three prospective hospital-based datasets: National Neonatal Perinatal Database (NNPD) of India, Delhi Neonatal Infection Study (DeNIS) cohort, and Goat Lung Surfactant Extract (GLSE)-Plus cohort were analyzed to study the causes of death among preterm neonates of less than 33 weeks' gestation admitted to the participating tertiary care hospitals in India. Results A total of 8024 preterm neonates were admitted in the three cohorts with 2691 deaths. Prematurity-related complications and sepsis contributed to 53.5% and 19.8% of deaths in the NNPD cohort, 51.0% and 25.0% in the DeNIS cohort, and 39.7% and 40.9% in GLSE-Plus cohort, respectively. Conclusions Nearly a quarter (20-40%) of preterm neonates less than 33 weeks' gestation admitted to Indian NICUs died of sepsis. The study results have implications for health policies targeted to reduce the neonatal mortality rate in India.

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Section: Discussionmentioning

confidence: 99%

Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts

et al. 2019

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“…The solutions must come from the ground level. This is emphasized in the articles by Balla, et al [6] and Khurana, et al [7] who have demonstrated the use of QI methods to decrease infection-related morbidity and optimize resource utilization.…”

Section: Examples Of Qi Methods Addressing the Six Dimensions Of Qualitymentioning

confidence: 99%

Delivering Quality Healthcare in India: Beginning of Improvement Journey

Deorari

Livesley

2018

Indian Pediatr

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“…The success of implementation depends on that all the measures be carried out together, without excluding steps. (11) The use of this NICU strategy has been shown to be feasible in the prevention and reduction of CLABSI (14,20,21) and has been associated to the best time of stay of the PICC without complications. (14) In order to encourage adherence to safe practices for improving quality of care and reduction of catheter-related infection, the objective of this study was to build a bundle for CLABSI prevention that includes nursing care for handling of the PICC in newborns.…”

Section: Introductionmentioning

confidence: 99%

Bundle para manuseio do cateter central de inserção periférica em neonatos

et al. 2019

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Resumo Objetivo Construir um bundle para prevenção de infecção primária da corrente sanguínea relacionada a cateter que contemple cuidados de enfermagem para manuseio do cateter de acesso venoso central por inserção periférica em neonatos. Métodos Pesquisa metodológica, desenvolvida no ano de 2017 em três etapas: levantamento bibliográfico, construção do instrumento e validação de conteúdo por cinco juízes. O instrumento para validação foi composto por 21 cuidados de enfermagem selecionados na primeira etapa. O índice de validade de conteúdo acima de 80% foi utilizado para avaliar a concordância entre os juízes, esta etapa foi realizada em uma única rodada. Resultados Dos 21 itens avaliados pelos juízes, dez foram excluídos por apresentarem índice de validade de conteúdo menor que 0,80 e três foram agrupados ao demais cuidados elencados. A versão final do bundle foi composta por oito itens. Os cuidados incluídos foram relacionados a higienização das mãos antes e após as manuseio, o uso de seringas com calibre adequado, troca e desinfecção das dânulas e dos conectores com álcool 70%, teste de permeabilidade e cuidados com curativos. Conclusão O estudo permitiu elaborar e validar junto a juízes um bundle para manuseio do cateter central de inserção periférica em neonatos com vistas a redução de infecção primária da corrente sanguínea relacionada ao cateter de acesso venoso central por inserção periférica.

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Decreasing Central Line-associated Bloodstream Infections Through Quality Improvement Initiative

Cited by 38 publications

References 10 publications

Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts

Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts

Delivering Quality Healthcare in India: Beginning of Improvement Journey

Bundle para manuseio do cateter central de inserção periférica em neonatos

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