Background
Central line–associated bloodstream infection is the most common infection associated
with healthcare in preterm infants. The purpose of this 18-month cross-sectional study
was to evaluate the effectiveness of bundle applications in the prevention of umbilical
venous catheter (UVC)–associated bloodstream infections.
Methods
This study included patients in whom UVCs were inserted and who were diagnosed with
central line–associated bloodstream infection between July 1, 2016, and December 31,
2017, according to the Centers for Disease Control and Prevention criteria. During
the second 9-month period of the study (April 1, 2017, to December 31, 2017), bundles
were implemented.
Results
In the prebundle period, 589 patients were admitted to the neonatal intensive care
unit, and 6,769 hospitalization days and 485 UVC days were recorded. Similarly, during
the bundle period, 508 patients were admitted to the neonatal intensive care unit,
and 7,789 hospitalization days and 508 UVC days were recorded. The UVC-associated
bloodstream infection rate was 12.4 per 1,000 catheter days in the prebundle period
and decreased to 3.9 per 1,000 catheter days in the bundle period. Thus, after introducing
bundle applications, the rate of infection decreased by 68% (P < .01).
Conclusions
This study showed that bundle application effectively reduced UVC-associated bloodstream
infection.
Key Words
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Article info
Publication history
Published online: November 28, 2018
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
