title: [Implementation of an insertion bundle for preventing central line-associated bloodstream infections in an Intensive Care Unit in Colombia].
abstract: BACKGROUND
  Central line-associated bloodstream infections (CLABSI) related to insertion and device care in intensive care units are frequent and preventable events.
  
  
  OBJECTIVE
  To evaluate the reduction in the rate of CLABSI through implementation of an insertion bundle.
  
  
  METHODS
  A study was conducted in the Adult-ICU at the University Hospital of Neiva comparing a pre-interventional period with an interventional one, each lasting 6 months; the intervention consisting of implementing a bundle of measures for the insertion of central venous catheters (CVC). In the pre-intervention period (2010) the rate of CLABSI and the population's characteristics were evaluated. The bundle for the insertion of the CVC consisted in: hands hygiene, use of 2% clorhexidine, maximum sterile barriers and avoiding femoral access.
  
  
  RESULTS
  The rate of CLABSI decreased from 5.56 to 3.26 per 1000 catheter days. The length of ICU stay and catheter duration were associated with a higher risk of infection associated to these devices (p < 0.05). Compliance with the bundle is a protective factor against the development of CLABSI (OR 0.45, p = 0.615). The staff adherence to the bundle was over 80%.
  
  
  CONCLUSIONS
  Implementing a Central Line Insertion Bundle proved to be a useful measure in prevention of CLABSI in our hospital. This strategy could be implemented in other hospitals of similar complexity.
authors.affiliation: Hospital Universitario de Neiva, Colombia.
authors.forename: Johanna
authors.initials: J
authors.lastname: Osorio
authors.forename: Diana
authors.initials: D
authors.lastname: Álvarez
authors.forename: Robinson
authors.initials: R
authors.lastname: Pacheco
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Gómez
authors.forename: Abner
authors.initials: A
authors.lastname: Lozano
mesh_terms: D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000209:etiology*; D055499:Catheter-Related Infections / Q000382:microbiology / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003105:Colombia; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D064872:Patient Care Bundles / Q000379:methods*; D012307:Risk Factors