Performance of a multidisciplinary team and the impact of bundles for reducing health care associated infections in adult intensive care unit: 22 years of experience

•Health care-associated infections are an important public health and patient safety issue.•A bundle is a specific tool with clear parameters to guide the multidisciplinary team in the intensive care unit.•Central line-associated blood stream infection, catheter-associated urinary tract infection, a...

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Published in:	American journal of infection control Vol. 50; no. 8; pp. 963 - 965
Main Authors:	Kataoka, Laura, Silva, Cláudia Vallone, Júnior, Moacyr Silva, Martineli, Paula Fernanda, de Araújo, Amanda Barreira Santos, Castagna, Helena Maria Fernandes, Toniolo, Alexandra do Rosário, Gonçalves, Priscila, Corrêa, Luci, Laselva, Cláudia Regina, Yamashita, Maria Aparecida, Guerra, Mércia Regina de Araújo, Lucinio, Neide Marcela, Marra, Alexandre R., Camargo, Thiago Zinsly Sampaio, Carvalheiro, Ana Maria, Caserta, Raquel Afonso, Ferraz, Leonardo José Rolim, Camargo, Luis Fernando Aranha, Kawagoe, Julia Yaeko, Menezes, Fernando Gatti de
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-08-2022
Subjects:	Blood stream infections Infection prevention Pneumonia Urinary tract infections Urinary tract infections Pneumonia Infection prevention Blood stream infections
Online Access:	Get full text
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Summary:	•Health care-associated infections are an important public health and patient safety issue.•A bundle is a specific tool with clear parameters to guide the multidisciplinary team in the intensive care unit.•Central line-associated blood stream infection, catheter-associated urinary tract infection, and ventilator-associated pneumonia rates declined 58.6%, 56.7%, and 82.6%, respectively, after bundle implementation. A retrospective cohort study was conducted to evaluate the bundle of techniques developed by the multidisciplinary team to minimize infections in an adult intensive care unit over a 22-year span. Two periods were analyzed: 1996-2006 and 2007-2017. Bloodstream infections, urinary tract infections, and ventilator-associated pneumonia declined 58.6%, 56.7%, and 82.6%, respectively (P < .05) from 2007 to 2017 compared with these same infections during 1996-2006.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0196-6553 1527-3296
DOI:	10.1016/j.ajic.2022.02.008