The Effect of a Guide Based Application Bundle on the Catheter-Related Infection

Year 2019, Volume: 27 Issue: 3, 222 - 230, 01.10.2019

Burcu Kübra Süha Şerife Karagözoğlu

Abstract

DOI: 10.5152/FNJN.2019.426870

Aim: Central venous catheters are used
extensively in intensive care units but can sometimes lead to catheter related
blood stream infections. This study was carried out to determine the effect of
guideline-based care bundle on possible catheter-related bloodstream infection
in the application and care of central venous catheter in patients receiving
follow-up and treatment in anesthesia intensive care unit.

Method: The study is a retrospective and
experimental one. The study population consisted of patients who were treated
in an anesthesia intensive care unit of a university hospital between June 2015
and June 2016, to whom the central line was inserted in this unit by the team
working in the unit and who required central line insertion for at least 48
hours. The patients in the study population also comprised the study sample.
The guideline-based application and care bundle was administered under the
supervision of the researcher in the intensive care unit and the patients were
evaluated on a daily basis for bloodstream infection.

Results: When comparing data obtained from
the study with data from the previous period, it was found that the
guideline-based application and care bundle decreased the catheter-related
bloodstream infection rate from 10.59/1000 to 2.88/1000 and this reduction was
considered statistically significant (p<0.05).

Conclusion: According to this study’s
data, the guideline-based care bundle is an effective and useful way to reduce
infection. 

Cite this article as: Süha, B. K.,
Karagözoğlu Ş. (2019). The effect of a guide based application bundle on the
catheter-related infection. FNJN Florence Nightingale Journal of Nursing,
27(3), 222-230.

Keywords

central venous catheter, infection, bundle, care bundle, intensive care

References

• Apisarnthsnarak, A, Thongphubet, K, Yuekyen, C, Warren, D.K, Fraser V.J. (2009). Effectiveness of a catheter-associated bloodstream infection bundle in a Thai tertiary care center: A 3-year study. American Journal of Infection Control,38: 449-455.
• Aygün, G. (2008). Damar içi katater enfeksiyonların önlenmesi ve kontrolü. Hastane Enfeksiyonları: Korunma ve Kontrol Sempozyum Dizisi,60: 79-88. <http://www.ctf.edu.tr/stek/pdfs/60/6009.pdf> Erişim Tarihi: Mayıs 2015.
• Bell, T, O’Grady, N.P. (2017). Prevention of Central Line-associated Bloodstream Infections. Infectious Disease Clinics of North America, 31(3): 551-559.
• Centers for Disease Control and Prevention Healthcare-associated Infections in the United States, 2006-2016: A Story of Progress. <https://www.cdc.gov/hai/surveillance/data-reports/data-summary-assessing-progress.html> Accessed 2 January 2018.
• Chen, Y.M, Dai, A.P, Shi, Y, Liu, Z.J, Gong, M.F, Yin, X.B. (2014). Effectiveness of silver-impregnated central venous catheters for preventing catheter-related blood stream infections: a meta-analysis. International Journal of Infectious Diseases, 29: 279-286.
• Durak, U, Yüce, S, Tayran, N, Tiryaki, S, Durak, Z, Koka, A, Aytaçkaplan, E, Öztürk, R, Çam, H. (2014). Efforts to prevent pediatric intensive care infections by applying bundle methods. Turkish Archives of Pediatrics, 49(1): 9-10.
• Ergül, B, Özcan, A, Aslaner, H, Aslaner, H.A, Köse, S, Torun Altuner, Y. (2016). Evaluation of central venous catheterization complications and related risk factors in a pediatric intensive care unit. Turkish Journal of Intensive Care Medicine; 7: 9-14.
• Furuya, Y.E , Dick, A.W, Herzig, C.T.A, Pogorzelska-Maziarz,M, Larson,E.L, Stone,P.W.(2016). Central line-associated bloodstream infection reduction and bundle compliance in intensive care units: A National Study. Infection Control & Hospital Epidemiology; 37(7): 806-810.
• Galpern, D, Guerrero, A, Tu, A, Fahoum, B, Wise, L. (2008). Effectiveness of central line bundle campaign on line-associated infections in the intensive care unit. Surgery,144(4): 492-495.
• Guerin, K, Wagner, J, Rains, K, Bessesen, M. (2010). Reduction in central line-associated bloodstream infecions by implementation of a postinsertion care bundle. American Journal of Infection Control,38(6):430-433.
• Güleser, N,G, Taşçı, S. (2009). Central Venous Catheters Which Are Frequently Used in Oncology and Care. Fırat University Medical Journal of Health Sciences; 23(1) : 47-51.
• Hakyemez, İ.N, Yıldırmak, M.T, Çetmeli, G, Iris, N.E. (2016). Prevelance,causative microorganisms,and risk factors of central venous catheter-related infections in a tertiary care hospital. Abant Medical Journal,5(2):108-117.
• Hebbar, K.B, Cunnigham, C, McCracken, C, Kamat, P, Fortenberry, J.D. (2015). Simulation-based paediatric intensive care unit central venous line maintenance bundle training. Intensive and Critical Care Nursing, 31: 44-50.
• Institute for Healthcare Improvement. Implement the central line bundle. <http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementtheCentralLineBundle.htm> Accessed 24 November 2015.
• Jeong, I.S, Park, S.M, Lee, J.M, Song,J.Y, Lee, S.J. (2013). Effect of central line bundle on central line-associated bloodstream infections in intensive care units. American Journal of Infection Control , 41: 710-716.
• Jones, C.A. (2013). Haemodialysis central venous catheter care bundle to reduce MRSA. Journal of Renal Nursing, 5(4): 189-194.
• Kim, J.S, Holtom, P, Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. Association for Professionals in Infection Control and Epidemiology,39: 640-646.
• Klintworth, G, Stafford, J, O’Connor, M, Leong, T, Hamley, L, Watson, K, Kennon, J, ClinEpi, G, Bass, P, Cheng, A.C, Worth, L.J. (2014). Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line-associated bloodstream infections. American Journal of Infection Control, 42: 685-687.
• Mariyaselvam, M.Z.A, Catchpole, K.R, Menon, D.K, Gupt, A.K, Young, P.J. Preventing Retained Central Venous Catheter Guidewires A Randomized Controlled Simulation Study Using a Human Factors Approach. Anesthesiology,127(4): 658-665.
• Mehndiratta, M.M, Nayak, R, Ali, S, Sharma, A. (2016). Bloodstream infections in NNICU: Blight on ICU stay. Ann Indian Acad Neurol ,19:327-331.National and State Healthcare Associated Infections Progress Report. (2016). <http://www.cdc.gov/hai/surveillance/progress-report/> Accessed 05 December 2016
• O’Neil, C, Ball, K, Wood, H, McMullen, K, Kremer, P, Jafarzadeh, S.R, Fraser, V, Warren, D. A central line care maintenance bundle fort he prevention of central line-associated bloodstream infection in Non-Intensive Care Unit settings. Infection Control & Hospital Epidemiology 2016 June, 37(6):692-698.
• Polat, F, Şahinoğlu, A,H, Dilek, A, Köksal, E, Üstün, Y.B, Kaya, C, Ülger, F, Esen, Ş. (2014). The Effect of Care Bundles Based on Guidelines Over the Central Venous Catheter Infections in an Intensive Care Unit. Turk J Intense Care, 12: 86-93.
• Safdar, N, Jacobs, E.A, Gaines, M.E. (2012). Assesment beyond central line bundle: Audits for line necessity in infected central lines in a surgical intensive care unit. American Journal of Infection Control, 40 : 80-89.
• Sağlık Bakanlığı Ulusal Hastane Enfeksiyonları Sürveyans Ağı (UHESA) Raporu Özet Veri,2014. http://dosyamerkez.saglik.gov.tr/Eklenti/2815,2014-ulusal-ozet-rapor-1pdf.pdf?0 Accessed 28 January 2018.