Efficacy of a care bundle to prevent multiple infections in the intensive care unit: A quasi-experimental pretest-posttest design study

YAZICI, Gülay; Bulut, Hülya

doi:10.1016/j.apnr.2017.10.009

Cited by 13 publications

(5 citation statements)

References 38 publications

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“…Median UC duration dropped significantly in seven out 12 studies. Results from all included papers showed a reduction of CAUTI rates, which is supported by other CPG implementation literature (Yazici, & Bulut, 2018).…”

Section: Discussionsupporting

confidence: 76%

Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

Marshall

et al. 2020

Int J of Nursing Practice

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Aim: To explore interventions and strategies to prevent catheter-associated urinary tract infections in hospitalized patients with a short-term indwelling urinary catheter.Background: Interventions and strategies to prevent catheter-associated urinary tract infections are reported in the literature, but it is not clear which may be relevant when the indwelling urinary catheter is in place for a short period of time.Design: An integrative review was performed.

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Section: Discussionsupporting

confidence: 76%

Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

Marshall

et al. 2020

Int J of Nursing Practice

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“…Bundles, containing multidisciplinary preventive measures to be applied together, are an excellent method of guaranteeing safe care (16)(17)(18) . The success of its implementation to reduce infection in the ICU is described in relevance in the international literature (6,15,(17)(18)(19)(20)(21) . A meta-analysis published in 2018 demonstrated the reduction of VAP-related mortality after the implementation of a preventive bundle (18) .…”

Section: Discussionmentioning

confidence: 99%

Education to prevent ventilator-associated pneumonia in intensive care unit

et al. 2020

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Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals. Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day. Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.

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“…23,24 It is known that CVCs cause infections such as bacteremia and colonization, and that these are significant complications responsible for mortality and morbidity. [12][13][14]16 The rate of bloodstream infections associated with CVCs was found to be 9.3% after 1000 catheter days. 12 According to the preliminary report of the Turkey Hospital Infections Surveillance, the rate of bloodstream infection related to CVCs in university hospitals was found to be 23% for 28,099 catheter days in 2010.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 Studies have shown that the rate of catheter-related bloodstream infections varies from 3.4 to 9.9 per 1000 patient days. [12][13][14] According to the preliminary report of the Turkey Hospital Infections Surveillance, the rate of bloodstream infection related to CVCs in adult ICUs in university hospitals was found to be 49.44% for 276,770 catheter days in 2014. 15 The mortality, morbidity, and costs increase due to these complications.…”

Section: Introductionmentioning

confidence: 99%

Examination of nursing drug administration practices via central venous catheter: An observational study

et al. 2019

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Aim: To determine the compliance with nursing drug administration procedure steps associated with access to the central venous catheter for bolus infusion in intensive care units. Methods: This observational study was conducted with 30 nurses working in an intensive care unit of a university hospital. The drug administrations practiced by nurses via central venous catheter were monitored simultaneously at 12:00 a.m., 02:00 p.m., and 06:00 p.m. by two observers. The data were collected using a data collection form and central venous catheter drug administration procedure steps. Results: A total of 90 different drug administrations were observed in three different treatment hours from 30 nurses. The interobserver conformity was found to be moderate in two steps (kappa = 0.520–0.627, P = 0.01) and perfect in all other steps (kappa = 0.821–1.000, P = 0.000). According to the drug administration procedure steps via a central venous catheter, all nurses applied the following steps correctly during all treatment hours: drug card control, preparation of treatment materials, checking the patient’s identity, and steps of drug treatment administration. The following tasks were frequently performed incorrectly or not at all: hand hygiene (before treatment 87.8%; after treatment 82.2%), scrubbing the three-way stopcock entrance with an alcohol swab (55.6%), waiting for the alcohol to dry (81.1%), and flushing the lumen with a compatible fluid (before treatment 84.4%: after treatment 75.6%). Conclusion: Observation of drug administration procedure steps via central venous catheter according to the treatment hours showed that the nurses performed many incomplete or inaccurate drug administration procedure steps and the mistakes increased toward the evening hours.

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Efficacy of a care bundle to prevent multiple infections in the intensive care unit: A quasi-experimental pretest-posttest design study

Cited by 13 publications

References 38 publications

Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

Education to prevent ventilator-associated pneumonia in intensive care unit

Examination of nursing drug administration practices via central venous catheter: An observational study

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