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Bundle approach reduced CLABSIs, costs in Argentina hospital
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Implementing a multimodal bundle approach reduced central line-associated bloodstream infections and resulted in overall net savings at the Hospital Universitario Austral in Pilar, Argentina. Rodolfo Ernesto Quirós, MD, of the prevention and infection control department at the hospital, presented these findings at the International Conference on Prevention and Infection Control in Geneva.
“Because the rates of central line-associated bloodstream infections were above international standards at our institution, it was decided to implement a specific bundle through a multimodal approach,” the researchers wrote in the study abstract. Between March 2010 and February 2011, Quirós and colleagues implemented preventive measures in the ICUs:
- Use central venous catheters only if strictly necessary.
- Avoid femoral site if possible.
- Hand hygiene with alcohol-gel before insertion.
- Use full-barrier precautions during the insertion of central venous catheters.
- Clean the skin with chlorhexidine (2%).
- Remove unnecessary catheters.
Implementation was based on the “5E” model (engage, education, execution, evaluation and encouragement).
Compared with the 1-year average of 6.84 central line-associated bloodstream infections (CLABSIs) per device-days before implementation, the incidence rate during the intervention period was 2.70 CLABSIs per device-days (RR=0.40; 95% CI, 0.22-0.69). In addition, adherence was more than 90% across all bundle components during the intervention period, and the overall net savings was $130,500.
For more information:
- Quirós RE. #O11. Presented at: The International Conference on Prevention and Infection Control; June 29-July 2, 2011; Geneva.
Disclosure: The researchers report no relevant financial disclosures.
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