title: [The effect of bundle care on central line associated bloodstream infection in a medical intensive care unit].
abstract: OBJECTIVE
  While the central line catheter is a common device used in intensive medical care, it is a frequent source of nosocomial infection. The central line associated bloodstream infection (CLABSI) rate at our medical ICU had increased steadily, with an average rate between January and May 2011 of .47%. We used a cross-team approach to implement bundle care as a strategy to reduce the CLABSI rate.
  
  
  OBJECTIVE
  We designed a project to reduce the CLABSI rate below .3% in our ICU.
  
  
  METHODS
  This project was conducted between June 2011 and May 2012. Our strategy included providing a sterile towel, implementing maximal barrier precautions (head to toe), designing an illustration explaining how to use 2% CHG, establishing a procedures and care checklist, implementing quality assurance for procedures and care, and providing education on bundle care.
  
  
  RESULTS
  The CLABSI rate reduced to .24% after project implementation. This result was below the target of .30%.
  
  
  CONCLUSIONS
  We want to share this experience to help other hospitals and units improve critical care quality and to continue working to achieve a zero-tolerance infection rate.
authors.affiliation: Department of Nursing and Medical Intensive Care Unit, Kaohsiung Medical University Hospital, Taiwan, ROC.
authors.forename: Ya-Wen
authors.initials: YW
authors.lastname: Sung
authors.affiliation: Department of Nursing and Medical Intensive Care Unit, Kaohsiung Medical University Hospital, Taiwan, ROC.
authors.forename: Min-Jung
authors.initials: MJ
authors.lastname: Huang
authors.affiliation: Department of Nursing and Medical Intensive Care Unit, Kaohsiung Medical University Hospital, Taiwan, ROC.
authors.forename: Chin-Yi
authors.initials: CY
authors.lastname: Chou
authors.affiliation: Department of Infection Control Room, Kaohsiung Medical University Hospital, Taiwan, ROC.
authors.forename: Ching-Tzu
authors.initials: CT
authors.lastname: Hung
authors.affiliation: Department of Internal Medicine and Intensive Care Unit, Kaohsiung Medical University Hospital, Taiwan, ROC.
authors.forename: Jong-Rung
authors.initials: JR
authors.lastname: Tsai
authors.affiliation: Department of Nursing and Medical Intensive Care Unit, Kaohsiung Medical University Hospital, Taiwan, ROC.
authors.forename: Sue-Hui
authors.initials: SH
authors.lastname: Chen
mesh_terms: D016470:Bacteremia / Q000451:nursing*; D055499:Catheter-Related Infections / Q000451:nursing*; D062905:Central Venous Catheters / Q000009:adverse effects*; D006801:Humans; D007362:Intensive Care Units; D010348:Patient Care Team
keywords: bundle care; central line associated bloodstream infection (CLABSI); intensive care unit