Prevention of peripherally inserted central catheter-related infections in very low-birth-weight infants by using a central line bundle guideline with a standard checklist

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Abstract

Objective To investigate the effectiveness and feasibility of using a central line bundle (CLB) guideline with a standard checklist in the prevention of peripherally inserted central catheter (PICC)-related infections (CRIs) in very low-birth-weight infants (VLBWIs). Methods Fifty-seven VLBWIs who underwent PICC insertion at a hospital in Qingdao, China, between November 2012 and June 2013, were monitored with the CLB guideline and a standard checklist. Fifty-three VLBWIs who underwent PICC insertion were monitored by standard hospital procedures. The incidence of CRIs was compared between the two groups. Results The incidence of infection significantly decreased from 10.0%catheter days in the control group to 2.2% catheter days in the study group (p < 0.05). The indwelling catheter time significantly increased in the study group compared to the control group (31.9 ± 15.0days vs. 24.8 ± 7.4 days, respectively, p < 0.05). Colonization infections also decreased from 6.9% catheter days in the control group to 2.2% catheter days in the study group (p < 0.05The incidence of catheter-related bloodstream infections decreased from 3.1% catheter days in the control group to 0% catheter days in the study group. Conclusion The use of a CLB guideline with a standard checklist could be an effective and feasible protocol for preventing CRIs and prolonging indwelling catheter timein VLBWIs.

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Yuan, C., Sun, H. Q., & Meng, F. (2016). Prevention of peripherally inserted central catheter-related infections in very low-birth-weight infants by using a central line bundle guideline with a standard checklist. International Journal of Nursing Sciences, 3(1), 50–53. https://doi.org/10.1016/j.ijnss.2016.02.013

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