Salama, Jamal, Rotimi, 2016.1212 Salama MF, Jamal W, Mousa HA, RotimI V. Implementation of central venous catheter bundle in an intensive care unit in Kuwait: effect on central line-associated bloodstream infections. J Infect Public Health [Internet]. 2016 Jan-Feb [cited 2016 Jun 07]; 9(1):34-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26138518
http://www.ncbi.nlm.nih.gov/pubmed/26138...
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• Insertion: maximal sterile barrier precautions; Skin asepsis; Preference for the subclavian vein; and hand hygiene before inserting the catheter. • Maintenance: verify the need for CVC to remain. |
2 years |
26% |
Sacks et al., 2014.1414 Sacks GD, Diggs BS, Hadjizacharia P, Green D, Salim A, Malinoski DJ. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement central line bundle. Am J Surg [Internet]. 2014 Jun [cited 2016 Mar 02]; 207(6):817-23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24576582
http://www.ncbi.nlm.nih.gov/pubmed/24576...
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• Insertion: maximal sterile barrier precautions; Skin asepsis; Preference for the subclavian vein; Use of ultrasound to guide catheter insertion; and hand hygiene before inserting the CVC. • Maintenance: verify the need for CVC to remain. |
1 year |
68% |
Kim, Holtom, Vigen, 2011.1717 Kim JS, Holtom P, Vigen C. Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: epidemiologic and economic consequences. Am J Infect Control [Internet]. 2011 Oct [cited 2016 Jun 07]; 39(8):640-6. Available from: http://www.sciencedirect.com/science/article/pii/S0196655311000903
http://www.sciencedirect.com/science/art...
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• Insertion: maximal sterile barrier precautions; Skin asepsis; replace the CVC inserted without aseptic techniques within 48 hours; Preference for the subclavian vein; avoid insertion into the femoral vein; and use of ultrasound to guide the insertion of the catheter. • Other: training and continuous education; And feedback of results. |
3 years |
70% |
Longmate et al., 2011.1818 Longmate AG, Ellis KS, Boyle L, Maher S, Cairns CJS, Lloyd SM, et al. Elimination of central-venous-catheterrelated bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011 May [cited 2016 Apr 10]; 20:174-80. Available from: http://www.iqg.com.br/pbsp/img_up/01305809324.pdf
http://www.iqg.com.br/pbsp/img_up/013058...
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• Insertion: maximal sterile barrier precautions; skin asepsis; preference for the subclavian vein; Avoid insertion into the femoral; and immediate removal of CVC without clinical indication. • Maintenance: disinfecting the hub before administering drugs; hand hygiene before handling the CVC; exchange of dressings; monitor the insertion site; and asepsis of the skin when changing the dressing. |
1 year |
100% |
Burden et al., 2012.1919 Burden AR, Torjman MC, Dy GE, Jaffe JD, Littiman JJ, Nawar F, et al. Prevention of central venous catheter-related bloodstream infections: is it time to add simulation training to the prevention bundle? J Clinical Anesthesia [Internet]. 2012 Nov [cited 2016 Apr 10]; 24(7): 555-60. Available from: http://www.sciencedirect.com/science/article/pii/S0952818012002450
http://www.sciencedirect.com/science/art...
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• Insertion: maximal sterile barrier precautions; Skin asepsis; preference for the subclavian vein; avoid insertion into the femoral; and immediate removal of CVC without clinical indication. • Maintenance: disinfecting the hub before administering drugs; hand hygiene before handling the CVC; change of dressings; Monitor the insertion site; and asepsis of the skin when changing the dressing. |
4 years |
61% |
Cherifi et al., 2013.2020 Cherifi S, Gerard M, Arias S, Byl B. A multicenter quasi-experimental study: impact of a central line infection control program using auditing and performance feedback in five Belgian intensive care units. Antimicrob Resist Infect Control [Internet]. 2013 Dec [cited 2016 Apr 10]; 2(1):33. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029143/
http://www.ncbi.nlm.nih.gov/pmc/articles...
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• Insertion: maximal sterile barrier precautions; skin asepsis; hand hygiene before inserting the CVC; and avoid insertion into the femoral; maintenance: verify the need for CVC permanence; disinfection of the hub before administering medications; hand hygiene before handling the CVC; and change of dressings. • Other: feedback of results. |
1 year |
55% |
Exline et al., 2013.2121 Exline MC, Ali NA, Zikri N, Mangino JE, Torrence K, Vermillion B, et al. Beyond the bundle journey of a tertiary care medical intensive care unit to zero central line-associated bloodstream infections. Crit Care [Internet]. 2013 Mar [cited 2016 Apr 10]; 17(2):41. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733431/
http://www.ncbi.nlm.nih.gov/pmc/articles...
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• Insertion: maximal sterile barrier precautions; skin asepsis; preference for the subclavian vein; replace the CVC inserted without aseptic techniques within 48 hours; use of ultrasound to guide CVC insertion; and immediate removal of CVC without clinical indication. • Other: feedback of results. |
3 years |
81% |
Hocking, Pirret, 2013.2222 Hocking C, Pirret AM. Using a combined nursing and medical approach to reduce the incidence of central line associated bacteraemia in a New Zealand critical care unit: a clinical audit. Intensive and Crit Care Nurs [Internet]. 2013 Jun [cited 2016 Apr 10]; 29(3):137-46. Available from: http://www.sciencedirect.com/science/article/pii/S0964339712001279
http://www.sciencedirect.com/science/art...
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• Insertion: maximal sterile barrier precautions; skin asepsis; preference for the subclavian vein; and hand hygiene before inserting the CVC. • Maintenance: verify the need for permanence of the CVC; monitor the insertion site; and disinfecting the hub before administering drugs. |
3 years |
75% |
Hammarskjöld et al., 2014.2323 Hammarskjöld F, Berg S, Hanberger H, Taxbro K, Malmvall B. Sustained low incidence of central venous catheter-related infections over six years in a Swedish hospital with an active central venous catheter team. Am J Infect Control [Internet]. 2014 Feb [cited 2016 Apr 10]; 42(2):122-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24485369
http://www.ncbi.nlm.nih.gov/pubmed/24485...
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• Insertion: maximal sterile barrier precautions; skin asepsis; CVC impregnated with antibiotic; let the antiseptic dry before inserting; only designated qualified professionals to insert the CVC |
3 years |
91% |
Klintworth et al., 2014.2424 Klintworth G, Stafford J, O'Connor M, Jeong T, Hamley L, Watson K, et al. Beyond the intensive care unit bundle: implementation of a successful hospital-wide initiative to reduce central line-associated bloodstream infections. Am J Infect Control [Internet]. 2014 Jun [cited 2016 Apr 11]; 42(6):685-7. Available from: http://www.sciencedirect.com/science/article/pii/S0196655314001710
http://www.sciencedirect.com/science/art...
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• Insertion: maximal sterile barrier precautions; skin asepsis; immediate removal of CVC without clinical indication; avoid femoral vein; hand hygiene before inserting the CVC; and only designate qualified professionals to insert the catheter and CVC impregnated with antibiotic. • Other: training and continuous education; and feedback of results. |
2 years |
60% |
Tang et al., 2014.2525 Tang HJ, Lin HL, Lin YH, Leung PO, Chuang YC, Lai CC. The impact of central line insertion bundle on central line associated bloodstream infection. BMC Infect Dis [Internet]. 2014 Jul [cited 2016 Apr 11]; 14(1):1-6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085375/
http://www.ncbi.nlm.nih.gov/pmc/articles...
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• Insertion: maximal sterile barrier precautions; skin asepsis; hand hygiene before inserting the CVC; and avoid insertion into the femoral. Maintenance: verify the need for CVC permanence; disinfection of the hub; hand hygiene before handling the CVC; and dressing change • Other: training; and continuing education. |
10 months |
61% |
Mazi et al., 2014.2626 Mazi W, Begum Z, Abdulla D, Hesham A, Maghari S, Assiri A, et al. Central line-associated bloodstream infection in a trauma intensive care unit: impact of implementation of Society for Healthcare Epidemiology of America/Infectious Diseases Society of America practice guidelines. Am J Infect Control [Internet]. 2014 Aug [cited 2016 Apr 12]; 42(8):865-7. Available from: http://www.sciencedirect.com/science/article/pii/S0196655314007974
http://www.sciencedirect.com/science/art...
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• Insertion: immediate removal of CVC without clinical indication; and hand hygiene before inserting the CVC. • Other: training and continuous education. |
1 year |
61% |
Allen et al., 2014.2727 Allen GB, Miller V, Nicholas C, Hess S, Cordes MK, Fortune JB, et al. A multitiered strategy of simulation training, kit consolidation, and electronic documentation is associated with a reduction in central line-associated bloodstream infections. Am J Infect Control [Internet]. 2014 Jun [cited 2016 Apr 12]; 42(6):643-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24837115
http://www.ncbi.nlm.nih.gov/pubmed/24837...
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• Insertion: maximal sterile barrier precautions; skin asepsis; hand hygiene before inserting the CVC; and preference for the subclavian vein. • Other: training and continuous education. |
4 years |
85% |
Thom et al., 2014.2828 Thom KA, Li S, Custer M, Preas MA, Rew CD, Cafeo C, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J Infect Control [Internet]. 2014 Feb [cited 2016 Apr 12]; 42(2):139-43. Available from: http://www.sciencedirect.com/science/article/pii/S0196655313012029
http://www.sciencedirect.com/science/art...
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• Insertion: maximal sterile barrier precautions; skin asepsis; hand hygiene before inserting the CVC; avoid insertion into the femoral; and immediate removal of CVC without clinical indication. • Other: training and continuos education; and feedback of results. |
4 years |
70% |
Menegueti et al., 2015.2929 Menegueti MG, Ardison KMM, Bellissimo-Rodrigues F, Gaspar GG, Martins-Filho AO, et al. The impact of implementation of bundle to reduce catheter-related bloodstream infection rates. J Clin Med Res [Internet]. 2015 Nov [cited 2016 Apr 12]; 7(11):857-61. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596267/
http://www.ncbi.nlm.nih.gov/pmc/articles...
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• Insertion: maximal sterile barrier precautions; skin asepsis; and hand hygiene before inserting the CVC. • Maintenance: verify the need for the CVC to remain; change of dressings; and monitor the insertion site. • Other: training and continuing education. |
3 years |
45% |
Entesari-Tatafi et al., 2015.3030 Entesari-Tatafi D, Bailey NOMJ, Chonghaile MNI, Lamb-Jenkins J, Athan E. Effectiveness of a care bundle to reduce central line-associated bloodstream infections. Med J Aust [Internet]. 2015 Mar [cited 2016 Apr 12]; 202 (5):247-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25758694
http://www.ncbi.nlm.nih.gov/pubmed/25758...
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• Insertion: maximal sterile barrier precautions; skin asepsis; and hand hygiene before inserting the CVC. • Maintenance: verify the need for the CVC to remain; change dressings; and monitor the insertion site. • Other: training and continuous education. |
10 years |
77% |