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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/207375
Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: implementation and results
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Background: Venous catheterization for diagnostic and therapeutic purposes is part of routine hospital practice, as approximately 70% of hospitalized patients have a peripheral venous catheter (PVC). This practice, however, can lead to both local complications, (e.g., chemical, mechanical and infectious phlebitis) and systemic complications (e.g., PVC-related bloodstream infections [PVC-BSIs]). Surveillance data and activities are central to preventing nosocomial infections, phlebitis and improving patient care and safety. The aim of this study was to evaluate the impact of a care bundle on reducing PVC-BSI rates and phlebitis at a secondary care hospital in Mallorca, Spain. Methods: Three-phase intervention study targeting hospitalized patients with a PVC. The VINCat criteria were used to define PVC-BSIs and calculate incidence. In phase I (August-December 2015), we retrospectively analyzed baseline PVC-BSI rates at our hospital. In phase II (2016-2017), we conducted safety rounds and developed a care bundle with the goal of reducing PVC-BSI rates. In phase III (2018), we expanded the PVC-BSI bundle to prevent phlebitis and analyzed its impact. Results: The incidence of PVC-BSIs decreased from 0.48 episodes per 1000 patient-days in 2015 to 0.17 episodes per 1000 patient-days in 2018. The 2017 safety rounds also detected a reduction in phlebitis (from 4.6% of 2.6%). Overall, 680 healthcare professionals were trained in catheter care and five safety rounds were conducted to assess bedside care. Conclusion: Implementation of a care bundle significantly reduced PVC-BSI rates and phlebitis at our hospital. Continuous surveillance programs are needed to adapt measures to improve patient care and guarantee safety.
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LLADÓ MAURA, Yolanda, BERGA FIGUEROLA, Magdalena lucía, RODRÍGUEZ MORENO, M. josé, LLUCH GARVI, Verónica, SOLER FELSNER, Elisabet e., RODRÍGUEZ-RODRÍGUEZ, Adrián, ALMENDRAL, Alexander, LIMÓN, Enrique, FUSTÉ I DOMÍNGUEZ, Ester. Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: implementation and results. _Infection_. Disease & Health. Vol. 2023, núm. 28, pàgs. 3. [consulta: 21 de gener de 2026]. ISSN: 2468-0451. [Disponible a: https://hdl.handle.net/2445/207375]