Lladó Maura, YolandaBerga Figuerola, Magdalena LucíaRodríguez Moreno, M JoséLluch Garvi, VerónicaSoler Felsner, Elisabet ERodríguez, AdriánAlmendral, AlexanderLimón, EnricFusté, Ester2024-10-092024-10-092023-02-25Lladó 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/20.500.13003/18912https://hdl.handle.net/20.500.12105/23605Background: 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.enghttp://creativecommons.org/licenses/by/4.0/research articleAtribución 4.0 Internacional3684928510.1016/j.idh.2023.02.0012468-0869Infection, disease & healthopen accessL2023025834