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
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) du...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/396 |
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| author | 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 Emanuele Pontali |
| author_facet | 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 Emanuele Pontali |
| author_sort | Silvia Boni |
| collection | DOAJ |
| description | 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 (<i>p</i> < 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. |
| first_indexed | 2024-03-08T09:51:31Z |
| format | Article |
| id | doaj.art-0899f2de6d8348e09bae14a50167070b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:51:31Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0899f2de6d8348e09bae14a50167070b2024-01-29T14:01:24ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113239610.3390/jcm13020396Innovative 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 ExperienceSilvia Boni0Marina Sartini1Filippo Del Puente2Giulia Adriano3Elisabetta Blasi Vacca4Nicoletta Bobbio5Alessio Carbone6Marcello Feasi7Viviana Grasso8Marco Lattuada9Mauro Nelli10Martino Oliva11Andrea Parisini12Roberta Prinapori13Maria Carmela Santarsiero14Stefania Tigano15Maria Luisa Cristina16Emanuele Pontali17Department of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyOperating Unit Hospital Hygiene, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyHospital Infection Control Committee, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyOperating Unit Hospital Hygiene, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyAnaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, 16128 Genoa, ItalyAnaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, 16128 Genoa, ItalyMedical Service Management, Galliera Hospital, 16128 Genoa, ItalyOperating Unit Hospital Hygiene, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyHospital Infection Control Committee, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyOperating Unit Hospital Hygiene, Galliera Hospital, 16128 Genoa, ItalyDepartment of Infectious Diseases, Galliera Hospital, 16128 Genoa, ItalyIn 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 (<i>p</i> < 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.https://www.mdpi.com/2077-0383/13/2/396device Standardized Infection Ratio (dSIR)central lines associated bloodstream infections (CLABSI)intensive care unitsStandardized Utilization Rate (SUR) |
| spellingShingle | 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 Emanuele Pontali 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 Journal of Clinical Medicine device Standardized Infection Ratio (dSIR) central lines associated bloodstream infections (CLABSI) intensive care units Standardized Utilization Rate (SUR) |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | device Standardized Infection Ratio (dSIR) central lines associated bloodstream infections (CLABSI) intensive care units Standardized Utilization Rate (SUR) |
| url | https://www.mdpi.com/2077-0383/13/2/396 |
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