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Review
. 2014 Apr;19(4):e20-3.
doi: 10.1093/pch/19.4.e20.

Use of bundled interventions, including a checklist to promote compliance with aseptic technique, to reduce catheter-related bloodstream infections in the intensive care unit

C David Simpson  1 , Judith Hawes  2 , Andrew G James  3 , Kyong-Soon Lee  3
Affiliations
Review

Use of bundled interventions, including a checklist to promote compliance with aseptic technique, to reduce catheter-related bloodstream infections in the intensive care unit

C David Simpson et al. Paediatr Child Health. 2014 Apr.

Abstract
in English, French

Background: A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients.

Objective: To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients.

Methods: A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation.

Results: Seventeen cohort studies were included. Thirteen studies were supportive of the intervention, while four were neutral. Infection rates ranged from 1.6 to 10.8 per 1000 central-line days in control groups, and from 0.0 to 3.8 per 1000 central-line days in the intervention groups.

Conclusion: There is fair evidence to recommend the use of care bundles that include a checklist during central-line insertion in intensive care unit patients to reduce the incidence of catheter-related bloodstream infections.

Historique: Une liste de vérification qui favorise le respect d’une technique aseptique pendant l’insertion d’un cathéter fait partie de nombreux « soins regroupés » pour réduire les infections nosocomiales chez les patients à l’unité de soins intensifs.

Objectif: Déterminer si le recours à des interventions regroupées, qui incluent une liste de vérification pendant l’insertion d’un cathéter central, réduit les infections sanguines liées aux cathéters chez les patients à l’unité de soins intensifs.

Méthodologie: Analyse bibliographique au moyen de la méthodologie adaptée du comité de liaison internationale sur la réanimation de l’American Heart Association.

Résultats: Dix-sept études de cohorte ont été incluses. Treize étaient favorables à l’intervention et quatre étaient neutres. Le taux d’infection variait entre 1,6 et 10,8 cas sur 1 000 jours-cathéters centraux dans les groupes témoins, et entre 0,0 et 3,8 cas sur 1 000 jourscathéters centraux dans les groupes d’intervention.

Conclusion: Les preuves sont acceptables pour recommander l’utilisation de groupes de soins qui incluent une liste de vérification pendant l’insertion d’un cathéter central chez les patients de l’unité de soins intensifs pour réduire l’incidence d’infections sanguines liées aux cathéters.

Keywords: Catheter-related infections; Catheters; Checklist; Health care; Indwelling/adverse events; Infection control/methods; Intensive care units; Quality assurance.

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