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Effect of the use of an antiseptic barrier cap on the rates of central line–associated bloodstream infections in neonatal and pediatric intensive care

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Effect of the use of an antiseptic barrier cap on the rates of central line–associated bloodstream infections in neonatal and pediatric intensive care

Rechten: Alle rechten voorbehouden

Samenvatting

Background
The use of antiseptic barrier caps reduced the occurrence of central line–associated bloodstream infections (CLABSI) in adult intensive care settings. We assessed the effect of the use of antiseptic barrier caps on the incidence of CLABSI in infants and children and evaluated the implementation process.

Methods
We performed a mixed-method, prospective, observational before-after study. The CLABSI rate was documented during the “scrub the hub method” and the antiseptic barrier cap phase. Main outcomes were the number of CLABSIs per 1,000 catheter days (assessed with a Poisson regression analysis) and nurses’ adherence to antiseptic barrier cap protocol.

Results
In total, 2,248 patients were included. The rate of CLABSIs per 1,000 catheter days declined from 3.15 to 2.35, resulting in an overall incidence reduction of 22% (95% confidence interval, –34%, 55%; P = .368).

Nurses’ adherence to the antiseptic barrier cap protocol was 95.2% and 89.0% for the neonatal intensive care unit and pediatric intensive care unit, respectively.

Discussion
The CLABSI reducing effect of the antiseptic barrier caps seems to be more prominent in the neonatal intensive care unit population compared with the pediatric intensive care unit population.

Conclusions
The antiseptic barrier cap did not significantly reduce the CLABSI rates in this study.

Toon meer
OrganisatieHogeschool Rotterdam
LectoraatKenniscentrum Zorginnovatie
Gepubliceerd inAmerican Journal of Infection Control
Datum2020-01-14
TypeArtikel
ISSN0196-6553
DOI10.1016/j.ajic.2019.11.026
TaalEngels

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