Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric ward.

IF 0.6 Q4 PEDIATRICS Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI:10.24875/BMHIM.23000134

Ana C Guerrero-Díaz, Daniela De la Rosa-Zamboni, Ma A Martin-Martin, Isabel Rosas-Mateos, Marisol Medina-Pelcastre, Margarita Torres-García, Almudena Laris-González, Martha Avilés-Robles

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Abstract

Background: Central line-associated bloodstream infections (CLABSIs) are among the most epidemiologically relevant health care-associated infections. The aseptic non-touch technique (ANTT) is a standardized practice used to prevent CLABSIs. In a pediatric hospital, the overall CLABSI rate was 1.92/1000 catheter days (CD). However, in one unit, the rate was 5.7/1000 CD.

Methods: Nurses were trained in ANTT. For the implementation, plan-do-study-act (PDSA) cycles were completed. Adherence monitoring of the ANTT and epidemiological surveillance were performed.

Results: ANTT adherence of 95% was achieved after 6 PDSA cycles. Hand hygiene and general cleaning reached 100% adherence. Port disinfection and material collection had the lowest adherence rates, with 76.2% and 84.7%, respectively. The CLABSI rate decreased from 5.7 to 1.26/1000 CD.

Conclusion: The implementation of ANTT helped reduce the CLABSI rate. Training and continuous monitoring are key to maintaining ANTT adherence.

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通过在儿科病房实施无菌非接触技术的质量策略，减少 CLABSI。

背景：中心静脉相关性血流感染（CLABSIs）是与流行病学最相关的医疗相关性感染之一。无菌非接触技术（ANTT）是一种用于预防 CLABSI 的标准化操作方法。在一家儿科医院，CLABSI 总发生率为 1.92/1000 个导管日（CD）。然而，在一个科室，CLABSI 感染率为 5.7/1000 CD：方法：对护士进行 ANTT 培训。在实施过程中，完成了 "计划-实施-研究-行动"（PDSA）循环。对 ANTT 的依从性进行监测，并进行流行病学监测：结果：经过 6 个 PDSA 周期后，ANTT 的坚持率达到 95%。手部卫生和一般清洁的坚持率达到 100%。港口消毒和材料收集的坚持率最低，分别为 76.2% 和 84.7%。CLABSI 感染率从 5.7/1000 CD 下降到 1.26/1000：结论：实施 ANTT 有助于降低 CLABSI 感染率。培训和持续监测是保持 ANTT 使用率的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Boletín médico del Hospital Infantil de México PEDIATRICS-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Boletín Médico del Hospital Infantil de México is a bimonthly publication edited by the Hospital Infantil de México Federico Gómez. It receives unpublished manuscripts, in English or Spanish, relating to paediatrics in the following areas: biomedicine, clinical, public health, clinical epidemology, health education and clinical ethics. Articles can be original research articles, in-depth or systematic reviews, clinical cases, clinical-pathological cases, articles about public health, letters to the editor or editorials (by invitation).