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Keywords = device Standardized Infection Ratio (dSIR)

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13 pages, 1901 KiB  
Article
Innovative Approaches to Monitor Central Line Associated Bloodstream Infections (CLABSIs) Bundle Efficacy in Intensive Care Unit (ICU): Role of Device Standardized Infection Rate (dSIR) and Standardized Utilization Ratio (SUR)—An Italian Experience
by Silvia Boni, Marina Sartini, Filippo Del Puente, Giulia Adriano, Elisabetta Blasi Vacca, Nicoletta Bobbio, Alessio Carbone, Marcello Feasi, Viviana Grasso, Marco Lattuada, Mauro Nelli, Martino Oliva, Andrea Parisini, Roberta Prinapori, Maria Carmela Santarsiero, Stefania Tigano, Maria Luisa Cristina and Emanuele Pontali
J. Clin. Med. 2024, 13(2), 396; https://doi.org/10.3390/jcm13020396 - 11 Jan 2024
Cited by 5 | Viewed by 2788
Abstract
In several settings, the COVID-19 pandemic determined a negative impact on the occurrence of healthcare-associated infection, particularly for on central lines associated bloodstream infections (CLABSI). In our setting, we observed a significant increase in CLABSI in our intensive care unit (ICU) during 2020 [...] Read more.
In several settings, the COVID-19 pandemic determined a negative impact on the occurrence of healthcare-associated infection, particularly for on central lines associated bloodstream infections (CLABSI). In our setting, we observed a significant increase in CLABSI in our intensive care unit (ICU) during 2020 and 2021 vs. 2018 to 2019. A refresher training activity on central venous catheter (CVC) management bundles was carried out in September–October 2021 for the ICU health staff. We assessed the impact of bundle implementation by means of standardized indicators, such as the Device Utilization Ratio (DUR), in this case, the Central Line Utilization Ratio, the Standardized Utilization Ratio (SUR), and the device Standardized Infection Ratio (dSIR). Standardized ratios for device use and infection ratio were computed using data from 2018 and 2019 as expectation data. After bundle implementation, we observed a significant reduction of dSIR (p < 0.001), which dropped from 3.23 and 2.99 in the 2020–2021 biennium to 1.11 in 2022 (CLABSI in the first quarter only); no more CLABSI were observed afterwards. Standardized ratios proved helpful in identify increasing trends of CLABSI in the ICU and monitoring the impact of a simple effective tool, i.e., training on and implementation of a bundle for CVC management. Full article
(This article belongs to the Section Epidemiology & Public Health)
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