Impact of CVC bundles implementation compliance on hospital acquired infections in an ICU setting in a teaching hospital, Kuw

ABSTRACT

Central line-associated bloodstream infections [CLABSIs] cause substantial morbidity and incur excess costs. The use of a central line insertion bundle has been shown to reduce the incidence of CLABSI. Surveillance for CLABSI was conducted by trained infection control team using National Health Safety Network case definitions and device-day measurement methods. During the intervention period, nursing staff used a postinsertion care bundle consisting of daily inspection of the insertion site; site care if the dressing was wet, soiled, or had not been changed for 7 days; documentation of on-going need for the catheter; proper application of a chlorohexidine gluconate-impregnated sponge at the insertion site; performance of hand hygiene before handling the intravenous system; and application of an alcohol scrub to the infusion hub for 15 seconds before each entry