Clinical effects of bundle intervention strategy on the prevention of CVC-related bloodstream infections
10.3760/cma.j.issn.1674-2907.2015.28.006
- VernacularTitle:集束干预策略预防中心静脉导管相关性血流感染的效果
- Author:
Binhong YU
1
;
Lin ZHOU
;
Ling XU
;
Jie WANG
;
Yufeng GU
;
Huifang HU
Author Information
1. 200240,复旦大学附属上海市第五人民医院重症监护室
- Keywords:
Central venous catheter;
Intensive Care Unit;
Bundle intervention;
Catheter-related bloodstream infection
- From:
Chinese Journal of Modern Nursing
2015;21(28):3370-3373
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effects of bundle intervention strategy on the prevention of CVC-related bloodstream infections. Methods A total of 847 patients were enrolled, of whom 411 cases received central venous catheterization ( CVC) from June 2008 to June 2010 were allocated to control group with 5760 catheter days and traditional central venous catheter care. While a total of 436 cases from September 2010 to September 2012 were allocated to observation group with 6110 catheter days and performed bundle intervention strategy. The site and duration of CVC, and incidence of CVC-related bloodstream infections between two groups were compared. Results The length of catheter indwelling in the observation group was ( 8 ± 3 ) d which was shorter than (13 ± 7)d in the control group (t=2. 672,P=0. 008). A total of 436 patients of observation group had total 6 110 d catheter indwelling time, in whom14 cases happened CRBSI with incidence rate 2. 3 per one thousand catheter day;411 patients of the control group had 5 760 d catheter indwelling time, in whom 38 cases occurred CRBSI with incidence rate 6. 6 per one thousand catheter day; the difference of CRBSI rate in two groups had statistical significance (χ2 =12. 60,P =0. 002). Conclusions The implementation of bundle intervention strategy can effectively minimize the incidence of CVC-related bloodstream infections.
