Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Impact of Central Line Insertion Bundle on the Adherence of Bundle and Central Line-Associated Bloodstream Infections in the Operating Room

수술실에서 중심정맥관 삽입 시 번들적용이 중심정맥관 관련 혈류감염에 미치는 영향

  • Shin, Eun Jeong (University of Ulsan Graduate School of Industrial Technology, Department of Nursing, Ulsan University Hospital) ;
  • Jeong, Jae Sim (Department of Nursing, Department of Clinical Nursing, University of Ulsan College of Medicine) ;
  • Choi, Sang Ho (Department of Infectious Diseases, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Huh, In Young (Department of Anesthesiology, University of Ulsan College of Medicine, Ulsan University Hospital)
  • 신은정 (울산대학교 산업대학원.울산대학교병원 간호본부) ;
  • 정재심 (울산대학교 의과대학 간호학과.임상전문간호학) ;
  • 최상호 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 허인영 (울산대학교 의과대학 울산대학교병원 마취통증의학과)
  • Received : 2016.10.28
  • Accepted : 2016.11.23
  • Published : 2016.11.30
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Abstract

Background: This study purposed to examine how the incidence of the central line-associated bloodstream infection (CLABSI) in a operating room (OR) is affected by bundle application on central line insertion (CLI) practice. Methods: The study design was a pretest-posttest experimental trial. The subjects were 83 patients before the bundle application on CLI and 70 patients after. Results: The compliance(%) of bundle on CLI of among those who observed all of the five items increased from 7.2% before the intervention to 72.9% after. By items, compliance with the maximal barrier precaution was 100% for the use of a mask and cap before and after the intervention, but increased from 73.5% before the intervention to 88.6% after for the hand hygiene, from 73.5% to 88.6% for the use of a sterile gown, and from 9.6% to 75.7% for the use of a sterile large drape covering the whole body. CLABSI did not happen on CLI either before or after the application of the bundle intervention. Conclusion: Bundle application increased compliance with the use of a sterile gown and the use of a sterile large drape. However, its effect in the prevention of CLABSI was not clear probably due to the short period of intervention in a single hospital.

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References

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