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CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(04): 273-278
DOI: 10.4103/JLP.JLP_162_16
Original Article

Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India

Suman Susan Prakash
Department of Microbiology, Hospital Infection Control Committee, Jawaharlal Institute of Postgraduate Medical Education and Research, India
,
Deepashree Rajshekar
Department of Microbiology, Hospital Infection Control Committee, Jawaharlal Institute of Postgraduate Medical Education and Research, India
,
Anusha Cherian
Department of Anaesthesiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
,
Apurba Sankar Sastry
Department of Microbiology, Hospital Infection Control Committee, Jawaharlal Institute of Postgraduate Medical Education and Research, India
› Author Affiliations Financial support and sponsorship: Nil.
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Abstract

CONTEXT: The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome.

AIMS: To evaluate the impact of the bundle care approach on reducing device-associated infections (DAIs).

SETTINGS AND DESIGN: The study was conducted at a tertiary care hospital, South India. The study period was from January 2016 to September 2016 which was divided into three phases, each comprising 3 months.

SUBJECTS AND METHODS: During the implementation phase, bundle care forms were implemented in all Intensive Care Units (ICUs) and the ICU staff were given a basic education on the importance of bundle care approach. The DAI rates (ventilator-associated pneumonia [VAP] rates, central line-associated bloodstream infection [CLABSI] rate, and catheter-associated urinary tract infection [CAUTI] rate) were calculated throughout the study period.

STATISTICAL ANALYSIS USED: Statistical analysis was performed using SPSS 19 software.

RESULTS: During preimplementation phase, the VAP rate, CLABSI rate, and CAUTI rate were 14.79, 4.98, and 4.86 per 1000 device days, respectively. Rates were reduced to 13.03, 3.98, and 3.39 per 1000 device days, respectively, during the implementation phase and further reduced into 11.91, 3.49, and 2.36 per 1000 device days during the postimplementation phase. The month-wise decreasing trend of DAI rates was significant for medical ICUs as compared to surgical and pediatric ICUs.

CONCLUSION: The month-wise decreasing trend of VAP rate, CLABSI rate, and CAUTI rate was noted, which signifies that the use of care bundle approach has a great impact on reducing DAIs.

Key words

Care bundle - catheter-associated urinary tract infection - central line-associated bloodstream infections - device-associated infections - ventilator-associated pneumonia


Publication History

Received: 02 December 2016

Accepted: 14 March 2017

Article published online:
19 February 2020

© 2017.

Thieme Medical and Scientific Publishers Private Ltd.
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