Boletín Médico del Hospital Infantil de México (Jul 2024)

Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric ward

  • Ana C. Guerrero-Díaz,
  • Daniela de la Rosa-Zamboni,
  • Ma. A. Martin-Martin,
  • Isabel Rosas-Mateos,
  • Marisol Medina-Pelcastre,
  • Margarita Torres-García,
  • Almudena Laris-González,
  • Martha Avilés-Robles

DOI
https://doi.org/10.24875/BMHIM.23000134
Journal volume & issue
Vol. 81, no. 3

Abstract

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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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