We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Impact of a comprehensive care bundle educational program on deviceassociated infections in an emergency intensive care unit.
- Authors
Negm, Essamedin M.; Othman, Howaydah A.; Tawfeek, Mohamed M.; Zalat, Marwa M.; El-Sokkary, Rehab H.; Alanwer, Khaled M.
- Abstract
Introduction Implementation of care bundles was shown to reduce the incidence of device-associated infections (DAIs). Substantial improvements in the rate of infection have been achieved by applying educational programs for infection control. Objectives: To demonstrate the impact of a comprehensive care bundle educational program (CCBEP) on DAIs, mortality rates in an emergency Intensive Care Unit (ICU), and improving healthcare workers (HCWs') knowledge, compliance to care bundle, and infection control practice. Methods A quasi-experimental study was carried out in an 15-beds emergency ICU, from May 2017 to October 2018. A comprehensive care bundle educational program was implemented. It covers items regarding device care bundle and infection control. Results Device care bundle compliance was variable between different bundle items. There was a significant improvement in HCWs' knowledge after the educational program intervention especially in hand hygiene, catheter-associated urinary tract infection (CAUTI) bundle, and total knowledge. There was a higher risk of ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), and CAUTI in the pre-intervention phase compared to post-intervention (RR: 1.4, 1.4, and 1.9 respectively). The total mortality rate decreased from 24.2/100 to 16.7/100 patients after intervention. Conclusions There was a statistically significant improvement in compliance with device care bundles with a decrease in the incidence of DAIs.
- Subjects
CENTRAL line-associated bloodstream infections; CATHETER-associated urinary tract infections; INTENSIVE care units; MEDICAL personnel; EDUCATIONAL programs; EMERGENCY nursing
- Publication
Germs, 2021, Vol 11, Issue 3, p381
- ISSN
2248-2997
- Publication type
Article
- DOI
10.18683/germs.2021.1275