J Korean Biol Nurs Sci.  2016 Nov;18(4):257-263. 10.7586/jkbns.2016.18.4.257.

Impact of Central Line Insertion Bundle on the Adherence of Bundle and Central Line-Associated Bloodstream Infections in the Operating Room

Affiliations
  • 1University of Ulsan Graduate School of Industrial Technology, Department of Nursing, Ulsan University Hospital, Ulsan, Korea.
  • 2Department of Nursing, Department of Clinical Nursing, University of Ulsan College of Medicine, Seoul, Korea. jsjeong@amc.seoul.kr jsejeongicp@ulsan.ac.kr
  • 3Department of Infectious Diseases, University of Ulsan College of Medicine, Asan Medical Center, Ulsan, Korea.
  • 4Department of Anesthesiology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea.

Abstract

BACKGROUND
This study purposed to examine how the incidence of the central line-associated bloodstream infection (CLABSI) in a operating room (OR) is affected by bundle application on central line insertion (CLI) practice.
METHODS
The study design was a pretest-posttest experimental trial. The subjects were 83 patients before the bundle application on CLI and 70 patients after.
RESULTS
The compliance(%) of bundle on CLI of among those who observed all of the five items increased from 7.2% before the intervention to 72.9% after. By items, compliance with the maximal barrier precaution was 100% for the use of a mask and cap before and after the intervention, but increased from 73.5% before the intervention to 88.6% after for the hand hygiene, from 73.5% to 88.6% for the use of a sterile gown, and from 9.6% to 75.7% for the use of a sterile large drape covering the whole body. CLABSI did not happen on CLI either before or after the application of the bundle intervention.
CONCLUSION
Bundle application increased compliance with the use of a sterile gown and the use of a sterile large drape. However, its effect in the prevention of CLABSI was not clear probably due to the short period of intervention in a single hospital.

Keyword

Central line–associated bloodstream infection; Central line insertion bundle; Operating room; Infection control

MeSH Terms

Compliance
Hand Hygiene
Humans
Incidence
Infection Control
Masks
Operating Rooms*
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