title: [Results of the implementation of the Bacteremia Zero project in Catalonia, Spain].
abstract: The nationwide Bacteremia Zero (BZ) Project consists in the simultaneous implementation of measures to prevent central venous catheter-related bacteremia (CVC-B) in critically ill patients and in the development of an integral safety plan. The objective is to present the results obtained after the implementation of the BZ project in the ICUs of the Autonomous Community of Catalonia, Spain. All patients admitted to ICUs in Catalonia participating in the ENVIN-HELICS registry between January 2009 and June 2010 were included. Information was provided by 36 (92.3%) of the total possible 39 ICUs. A total of 281 episodes of CVC-B were diagnosed (overall rate of 2.53 episodes per 1000 days of CVC). The rates have varied significantly between ICUs that participated in the project for more or less than 12 months (2.17 vs. 4.27 episodes per 1000 days of CVC, respectively; p<.0001). The implementation of the BZ Project in Catalonia has been associated with a decrease greater than 40% in the CVC-B rates in the ICUs of this community, which is much higher than the initial objective of 4 episodes per 1000 days of CVC).
authors.affiliation: Servicio de Medicina Intensiva, Hospital del Mar, Barcelona, España. Electronic address: falvarez@pardesalutmar.cat.
authors.forename: Francisco
authors.initials: F
authors.lastname: Alvarez-Lerma
authors.affiliation: Servei de Promoció de la Seguretat del Pacient, Subdirecció General de Serveis Sanitaris, Departament de Salut, Generalitat de Catalunya.
authors.forename: Glòria
authors.initials: G
authors.lastname: Oliva
authors.affiliation: Consell Assessor del Proyecto Bacteriemia Zero, La Unió, Asociación de Entidades Sanitarias y Sociales.
authors.forename: Joan M
authors.initials: JM
authors.lastname: Ferrer
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitari Vall d'Hebron, Barcelona, España.
authors.forename: Alba
authors.initials: A
authors.lastname: Riera
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitari Arnau de Vilanova, Lleida, España.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Palomar
mesh_terms: D016470:Bacteremia / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control*; D055499:Catheter-Related Infections / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control*; D062905:Central Venous Catheters / Q000009:adverse effects*; D003422:Critical Care / Q000706:statistics & numerical data; D016469:Fungemia / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D006282:Health Personnel / Q000193:education; D006284:Health Plan Implementation; D006801:Humans; D017053:Infection Control / Q000458:organization & administration*; D007362:Intensive Care Units / Q000706:statistics & numerical data; D009313:National Health Programs / Q000458:organization & administration / Q000706:statistics & numerical data*; D015397:Program Evaluation; D011446:Prospective Studies; D013030:Spain / Q000453:epidemiology; D016635:Universal Precautions
keywords: Bacteremia Zero project; Bacteriemia relacionada con catéter; Catalonia; Catalunya; Catheter-related bacteremia; Patient's safety; Prevención; Prevention; Proyecto Bacteriemia Zero; Seguridad del paciente; Service of intensive care medicine; Servicio de medicina intensiva