Are central line bundles and ventilator bundles effective in critically ill neonates and children?

Intensive Care Medicine

Volumn 39, Issue 8, 2013, Pages 1352-1358

  Smulders, Charlotte A ^a   Van Gestel, Josephus P J ^b   Bos, Albert P ^c  

^a UTRECHT UNIVERSITY   (Netherlands)

^b UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^c EMMA CHILDREN S HOSPITAL   (Netherlands)

Author keywords

Care bundles; Central line associated bloodstream infections; Neonatal intensive care unit; Pediatric intensive care unit; Quality improvement; Ventilator associated pneumonia

Indexed keywords

CATHETER INFECTION; CENTRAL VENOUS CATHETER; CRITICALLY ILL PATIENT; HUMAN; INTENSIVE CARE UNIT; NEWBORN INTENSIVE CARE; REVIEW; SEPSIS; VENTILATOR; VENTILATOR ASSOCIATED PNEUMONIA;

CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETERS; CHILD; CLINICAL PROTOCOLS; CRITICAL ILLNESS; CROSS INFECTION; EVIDENCE-BASED MEDICINE; HUMANS; INFANT, NEWBORN; PNEUMONIA, VENTILATOR-ASSOCIATED; VENTILATORS, MECHANICAL;

EID: 84880305164     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-013-2927-7     Document Type: Review

References (44)

1. Burke JP (2003) Infection control: a problem for patient safety. N Engl J Med 348:651-656
2. Grohskopf LA, Sinkowitz-Cochran RL, Garrett DO, Sohn AH, Levine GL, Siegel JD et al (2002) A national point-prevalence survey of pediatric intensive care unit - acquired infections in the United States. J Pediatr 140:432-438
3. Richards MJ, Edwards JR, Culver DH, Gaynes RP (1999) Nosocomial infections in pediatric intensive care units in the United States. National Nosocomial Infections Surveillance System. Pediatrics 103:e39
4. Edwards JR, Peterson KD, Andrus ML et al (2007) National Healthcare Safety Network (NHSN) Report, data summary for 2006, issued June 2007. Am J Infect Control 35:290-301
5. O'Grady NP, Alexander M, Burns LA et al (2011) Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 52:e162-e193
6. Tablan OC, Anderson LJ, Besser R, Bridges C, Hajjeh R, CDC, Healthcare Infection Control Practices Advisory Committee (2004) Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 53((RR-3)):1-36
7. Jarvis W, Edwards JR, Culver GH et al (1991) Nosocomial infection rates in adult and pediatric intensive care units in the United States. National Nosocomial Infections Surveillance System. Am J Med 91:185s-191s
8. Venkatachalam V, Hendley JO, Wilson DF (2011) The diagnostic dilemma of ventilator-associated pneumonia in critically ill children. Pediatr Crit Care Med 12:286-296
9. Centers for Disease Control and Prevention Guidelines (CDC) (2009) Guidelines and procedures for monitoring VAP. National Healthcare Safety Network. http://www.cdc.gov/nhsn/pdfs/pscmanual/6pscvapcurrent.pdf accessed 1 dec 2012
10. Slonim AD, Kurtines HC, Sprague BM, Singh N (2001) The costs associated with nosocomial bloodstream infections in the pediatric intensive care unit. Pediatr Crit Care Med 2:170-174
11. Bhutta A, Gilliam C, Honeycutt M et al (2007) Reduction of bloodstream infections associated with catheters in paediatric intensive care unit: stepwise approach. BMJ 334:362-365
12. Li S, Bizzarro MJ (2011) Prevention of central line associated bloodstream infections in critical care units. Curr Opin Pediatr 23:85-90
13. Elward AM, Hollenbeak CS, Warren DK, Fraser VJ (2005) Attributable cost of nosocomial primary bloodstream infection in pediatric intensive care unit patients. Pediatrics 115:868-872
14. Powers RJ, Wirtschafter DW (2010) Decreasing central line associated bloodstream infection in neonatal intensive care. Clin Perinatol 37:247-272
15. Klevens RM, Edwards JR, Richards CL et al (2007) Estimating health care-associated infections and death in US hospitals, 2002. Public Health Rep 122:160-166
16. Institute for Healthcare Improvement (2011) What is a bundle. http://www.ihi.org/knowledge/Pages/ImprovementStories/WhatIsaBundle.aspx. Accessed 3 Feb 2012
17. Morris AC, Hay AW, Swann DG et al (2011) Reducing ventilator-associated pneumonia in intensive care: impact of implementing a care bundle. Crit Care Med 39:2218-2224
18. Lachman P, Yuen S (2009) Using care bundles to prevent infection in neonatal and paediatric ICUs. Curr Opin Infect Dis 22:224-228
19. Winters B, Dorman T (2006) Patient-safety and quality initiatives in the intensive-care unit. Curr Opin Anaesthesiol 19:140-145
20. Shuman EK, Washer LL, Arndt JL et al (2010) Analysis of central line-associated bloodstream infections in the intensive care unit after implementation of central line bundles. Infect Control Hosp Epidemiol 31:551-553
21. Pronovost P, Needham D, Bernholtz S et al (2006) An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 355:2725-2732
22. Bonello RS, Fletcher CE, Becker WK et al (2008) An intensive care unit quality improvement collaborative in nine Department of Veterans Affairs hospitals: reducing ventilator-associated pneumonia and catheter-related bloodstream infection rates. Jt Comm J Qual Patient Saf 34:639-645
23. Furuya EY, Dick A, Perencevich EN, Pogorzelska M, Goldmann D, Stone PW (2011) Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS One 6:e15452
24. Galpern D, Guerrero A, Tu A, Fahoum B, Wise L (2008) Effectiveness of a central line bundle campaign on line-associated infections in the intensive care unit. Surgery 144:492-495
25. Venkatram S, Rachmale S, Kanna B (2010) Study of device use adjusted rates in health care-associated infections after implementation of "bundles" in a closed-model medical intensive care unit. J Crit Care 25:174.e11-174.e18
26. Wip C, Napolitano L (2009) Bundles to prevent ventilator-associated pneumonia: how valuable are they? Curr Opin Infect Dis 22:159-166
27. National Nosocomial Infections Surveillance System (2004) National Nosocomial Infections Surveillance System (NNIS) system report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 32:470-485
28. Huskins WC (2012) Quality improvement interventions to prevent healthcare-associated infections in neonates and children. Curr Opin Pediatr 24:103-112
29. Bizzarro MJ, Sabo B, Noonan M et al (2010) A quality improvement initiative to reduce central line-associated bloodstream infections in a neonatal intensive care unit. Infect Control Hosp Epidemiol 31:241-248
30. Schulman J, Stricof R, Stevens TP et al (2011) Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics 127:436-444
31. Costello JM, Morrow DF, Graham DA, Potter-Bynoe G, Sandora TJ, Laussen PC (2008) Systematic intervention to reduce central line-associated bloodstream infection rates in a pediatric cardiac intensive care unit. Pediatrics 121:915-923
32. Jeffries HE, Mason W, Brewer M et al (2009) Prevention of central venous catheter-associated bloodstream infections in pediatric intensive care units: a performance improvement collaborative. Infect Control Hosp Epidemiol 30:645-651
33. McKee C, Berkowitz I, Cosgrove SE et al (2008) Reduction of catheter-associated bloodstream infections in pediatric patients: experimentation and reality. Pediatr Crit Care Med 9:40-46
34. Miller MR, Niedner MF, Huskins WC et al (2011) Reducing PICU central line-associated bloodstream infections: 3-year results. Pediatrics 128:e1077-e1083
35. Miller-Hoover S (2011) Pediatric central line: bundle implementation and outcomes. J Infus Nurs 34:36-48
36. Morgan LM, Thomas DJ (2007) Implementing evidence-based nursing practice in the pediatric intensive care unit. J Infus Nurs 30:105-112
37. Wheeler DS, Giaccone MJ, Hutchinson N et al (2011) A hospital-wide quality-improvement collaborative to reduce catheter-associated bloodstream infections. Pediatrics 128:e995-e1004
38. Bigham MT, Amato R, Bondurrant P et al (2009) Ventilator-associated pneumonia in the pediatric intensive care unit: characterizing the problem and implementing a sustainable solution. J Pediatr 154:582-587
39. Brierley J, Highe L, Hines S, Dixon G (2012) Reducing VAP by instituting a care bundle using improvement methodology in a UK paediatric intensive care unit. Eur J Pediatr 171:323-330
40. Brilli RJ, Sparling KW, Lake MR et al (2008) The business case for preventing ventilator-associated pneumonia in pediatric intensive care unit patients. Jt Comm J Qual Patient Saf 34:629-638
41. Chittick P, Sherertz RJ (2010) Recognition and prevention of nosocomial vascular device and related bloodstream infections in the intensive care unit. Crit Care Med 38(8 Suppl):363-372
42. Marwick C, Davey P (2009) Care bundles: the holy grail of infectious risk management in hospital? Curr Opin Infect Dis 22:364-369
43. Miller MR, Griswold M, Harris JM et al (2010) Decreasing PICU catheter-associated bloodstream infections: NACHRI's quality transformation efforts. Pediatrics 125:206-213
44. Kilo CM, Kabcenell RN, Berwick DM (1998) Beyond survival: toward continuous improvement in medical care. New Horiz 6:3-11