AI Article Synopsis
- Central line-associated bloodstream infections (CLABSIs) are significant healthcare-related infections, and the aseptic non-touch technique (ANTT) is used to prevent them.
- After training nurses in ANTT and completing 6 PDSA cycles, adherence to the technique reached 95%, while hand hygiene and cleaning standards were perfect, although port disinfection and material collection had lower adherence rates.
- The CLABSI rate significantly decreased from 5.7 to 1.26 per 1000 catheter days, highlighting that proper training and ongoing monitoring are essential for sustaining ANTT adherence.
Article Abstract
Background: Central line-associated bloodstream infections (CLABSIs) are among the most epidemiologically relevant health care-associated infections. The aseptic non-touch technique (ANTT) is a standardized practice used to prevent CLABSIs. In a pediatric hospital, the overall CLABSI rate was 1.92/1000 catheter days (CD). However, in one unit, the rate was 5.7/1000 CD.
Methods: Nurses were trained in ANTT. For the implementation, plan-do-study-act (PDSA) cycles were completed. Adherence monitoring of the ANTT and epidemiological surveillance were performed.
Results: ANTT adherence of 95% was achieved after 6 PDSA cycles. Hand hygiene and general cleaning reached 100% adherence. Port disinfection and material collection had the lowest adherence rates, with 76.2% and 84.7%, respectively. The CLABSI rate decreased from 5.7 to 1.26/1000 CD.
Conclusion: The implementation of ANTT helped reduce the CLABSI rate. Training and continuous monitoring are key to maintaining ANTT adherence.
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| http://dx.doi.org/10.24875/BMHIM.23000134 | DOI Listing |
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