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. 2021 Sep 29;11(3):381-390.
doi: 10.18683/germs.2021.1275. eCollection 2021 Sep.

Impact of a comprehensive care bundle educational program on device-associated infections in an emergency intensive care unit

Essamedin M Negm  1 , Howaydah A Othman  2 , Mohamed M Tawfeek  2 , Marwa M Zalat  3 , Rehab H El-Sokkary  4 , Khaled M Alanwer  5
Affiliations

Impact of a comprehensive care bundle educational program on device-associated infections in an emergency intensive care unit

Essamedin M Negm et al. Germs. .

Abstract

Introduction: Implementation of care bundles was shown to reduce the incidence of device-associated infections (DAIs). Substantial improvements in the rate of infection have been achieved by applying educational programs for infection control. Objectives: To demonstrate the impact of a comprehensive care bundle educational program (CCBEP) on DAIs, mortality rates in an emergency Intensive Care Unit (ICU), and improving healthcare workers (HCWs') knowledge, compliance to care bundle, and infection control practice.

Methods: A quasi-experimental study was carried out in an 15-beds emergency ICU, from May 2017 to October 2018. A comprehensive care bundle educational program was implemented. It covers items regarding device care bundle and infection control.

Results: Device care bundle compliance was variable between different bundle items. There was a significant improvement in HCWs' knowledge after the educational program intervention especially in hand hygiene, catheter-associated urinary tract infection (CAUTI) bundle, and total knowledge. There was a higher risk of ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), and CAUTI in the pre-intervention phase compared to post-intervention (RR: 1.4, 1.4, and 1.9 respectively). The total mortality rate decreased from 24.2/100 to 16.7/100 patients after intervention.

Conclusions: There was a statistically significant improvement in compliance with device care bundles with a decrease in the incidence of DAIs.

Keywords: DAIs; Educational program; HCWs’; care bundles; compliance; emergency ICU.

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Conflict of interest statement

Conflicts of interest: All authors – none to declare.

Figures

Figure 1
Figure 1
Compliance rate to VAP, CLABSI, and CAUTI bundle components in the emergency intensive care unit before and after the intervention Intervention CAUTI - catheter-associated urinary tract infection; CLABSI - central line-associated bloodstream infection; VAP - ventilator-associated pneumonia.
See this image and copyright information in PMC

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