[Prevention of nosocomial infections by bundles. Evidence and practical implementation].
There are numerous guidelines for the prevention of hospital-acquired infections; however, adherence to these guidelines is only limited. The bundle concept was developed to facilitate the implementation by prioritizing certain measures. A bundle contains 3-5 evidence-based key interventions. The bundle concept has been successfully applied to reduce central catheter-related bloodstream infections and ventilation-associated pneumonia whereby only strict compliance can help to reduce infections; therefore, the right implementation strategy is essential. This means accurate planning, delegation of responsibilities, education, control of compliance and infection surveillance.
Institut für Medizinische Mikrobiologie, Immunologie und Hygiene, Trogerstr. 30, 81675, München. Friedemann.Gebhardt@mikrobio.med.tum.de
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D016470:Bacteremia / Q000517:prevention & control / Q000635:transmission; D001424:Bacterial Infections / Q000517:prevention & control* / Q000635:transmission; D055499:Catheter-Related Infections / Q000517:prevention & control / Q000635:transmission; D003428:Cross Infection / Q000517:prevention & control* / Q000635:transmission; D019317:Evidence-Based Medicine; D005858:Germany; D019983:Guideline Adherence; D006284:Health Plan Implementation; D006801:Humans; D064872:Patient Care Bundles; D053717:Pneumonia, Ventilator-Associated / Q000209:etiology / Q000517:prevention & control; D058996:Quality Improvement; D012307:Risk Factors