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oai:repisalud.isciii.es:20.500.12105/236052024-11-28T18:26:14Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16962col_20.500.12105_16967

00925njm 22002777a 4500 dc Lladó Maura, Yolanda author Berga Figuerola, Magdalena Lucía author Rodríguez Moreno, M José author Lluch Garvi, Verónica author Soler Felsner, Elisabet E author Rodríguez, Adrián author Almendral, Alexander author Limón, Enric author Fusté, Ester author 2023-02-25 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. Lladó Maura Y, Berga Figuerola ML, Rodríguez Moreno MJ, Lluch Garvi V, Soler Felsner EE, Rodríguez-Rodríguez A, et al. Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: Implementation and results. Infect Dis Heal. 2023 Feb. https://hdl.handle.net/20.500.13003/18912 https://hdl.handle.net/20.500.12105/23605 36849285 10.1016/j.idh.2023.02.001 2468-0869 Infection, disease & health L2023025834 Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: Implementation and results