| 英文摘要 |
The purpose of this project was to use Bundle Care method to reduce bloodstream infection from central venous catheters. From an Intensive Care Unit (ICU) of a metropolitan hospital located in the south part of Taiwan, it was found that physicians did not follow protocol to wash their hands accurately before the insertion of central venous catheters and sterilization on skin was often less than 2 minutes. Furthermore, nurses did not evaluate wound conditions around central venous catheters. Staffs did not perfectly follow hand-washing guidelines before implementing care of central venous catheters. All these might cause the incidence of central venous catheter infection. An intervention of Bundle Care includes holding a continuing education, establishing a central composition infection control method, conducting slogans about infection control, and establishing an inspection mechanism for intravascular infection control During the executing period from August 1st, 2012 to January 31th, 2013, the incidence of central venous catheter infection reduced from 11.6‰ to 2.0‰. It has achieved the goal. Additionally, the accurate rates of central venous catheter inserting and management have reached 100%. It showed that following the bundle care intervention could decrease bloodstream infection from central venous catheters. |
