INTRODUCTION: Health care-associated infection (HCAI) is one of the most common threats to patient safety and is associated with a significant mortality and morbidity. Evidence-based practices can be adopted to prevent HCAI. Care bundle is one of the prevention strategies designed to ensure uniform application of best practices to all patients.
AIMS:
a. To study the impact of care bundles on device-associated infection
b. To study the compliance in execution of the care bundles.
MATERIALS AND METHODS: A time series study was conducted in a 17-bedded medical intensive care unit (ICU). Care bundles were uniformly implemented in the ICU from January 2015. Surveillance and identification of HCAI were done on the basis of CDC guidelines. Statistical analysis was performed using the SPSS software version 2.0.
RESULTS: During the pre-implementation phase, the ventilator-associated pneumonia, catheter-associated urinary tract infection and central line-associated bloodstream infections rates were 9.57, 27.28 and 4.62/1000 device days which reduced to 1.51, 1.25 and 1.20/1000 device days, respectively, in the post-implementation phase. The compliance percentage for the execution of care bundles for central line, urinary catheter and ventilator improved, respectively, from 80%, 90% and 85% in 2016 to 85%, 97% and 92%, in 2017.
CONCLUSION: Care bundles can have a significant impact on health care-associated infections. However, to have a sustained impact on HCAI continuous training and monitoring is required.
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