Lladó Maura, YolandaBerga Figuerola, Magdalena LucíaRodríguez Moreno, M. JoséLluch Garvi, VerónicaSoler Felsner, Elisabet E.Rodríguez-Rodríguez, AdriánAlmendral, AlexanderLimón, EnriqueFusté i Domínguez, Ester2024-02-092024-02-092023-02-262468-0451https://hdl.handle.net/2445/207375Background: 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.9 p.application/pdfengcc-by (c) Lladó Maura, Yolanda et al, 2023http://creativecommons.org/licenses/by/3.0/es/CateterismeInfeccionsAssistència hospitalàriaCatheterizationInfectionsHospital careinfo:eu-repo/semantics/article7298602024-02-09info:eu-repo/semantics/openAccess36849285