Results of a multi-faceted educational intervention to prevent peripheral venous catheter-associated bloodstream infections

J Hosp Infect. 2019 Aug;102(4):449-453. doi: 10.1016/j.jhin.2019.02.004. Epub 2019 Feb 13.

Abstract

Peripheral venous catheter-associated bloodstream infections (PVC-BSIs) lead to prolonged hospitalization, morbidity and increased costs. The impact of infection-prevention measures on the rate of PVC-BSIs in a university hospital in Spain was assessed. An active surveillance programme was initiated in 2015, which revealed a high PVC-BSI incidence ratio (0.48/1000 patient-days). A bundle aimed at nurses, medical staff and patients was implemented, and a Catheter Infection Team (CIT) was set up. The intervention achieved a decrease in PVC-BSI rate: 0.34 in 2016, 0.29 in 2017, and 0.17 in 2018. The decline was greatest for Gram-negative PVC-BSIs (67.6% in 2015, 35.3% in 2018).

Keywords: Bloodstream infection; Educational intervention; Peripheral venous catheter.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Catheter-Related Infections / epidemiology
  • Catheter-Related Infections / prevention & control*
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / methods*
  • Female
  • Humans
  • Incidence
  • Infection Control / methods*
  • Infection Control / organization & administration
  • Male
  • Middle Aged
  • Sepsis / epidemiology
  • Sepsis / prevention & control*
  • Spain / epidemiology
  • Young Adult