Ochoa-Hein E, Galindo-Fraga A

Language: Spanish
References: 18
Page: 334-336
PDF size: 567.87 Kb.

ABSTRACT

Prevention of healthcare-associated infections (HAIs) are a priority on a global level. The strategy that best accomplishes this goal is the use of patient care bundles. A bundle is defined as a set of evidence-based interventions for a defined patient segment/population and care setting that, when implemented together, result in significantly better outcomes than when implemented individually. The 4 most known patient care bundles are directed towards the prevention of central line-associated bloodstream infections, ventilator-associated pneumonia, catheter-associated urinary tract infections and surgical site infections. Due to an increasing incidence in hospitals, a patient care bundle for Clostridium difficile has been proposed recently, although evidence of its effectiveness is still low. Some authors have contributed ideas to create new bundles that attempt to reduce antibiotic resistance and dissemination of resistant microorganisms as well. Patient care bundles are generally accepted as being useful, but more research is needed to develop better information regarding their effectiveness and cost-effectiveness, as well as for the creation of new bundles that may help manage current epidemiologic challenges in hospitals.

REFERENCES

1. 1.Clean care is safer care. The burden of health-care associated infection worldwide. Organización Mundial de la Salud, 2018. Disponible en: http://www.who.int/gpsc/countr y_work/burden_ hcai/en/. Consultado el 28/03/2018.

2. 2.Healthcare-associated infections. Types of healthcare-associated infections. Centers for Disease Control and Prevention, 2014. Disponible en: https://www.cdc.gov/hai/infectiontypes.html. Consultado el 28/03/2018.

3. 3.Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK. Global priorities for patient safety research. BMJ 2009;338:b1775.

4. 4.Burke JP. Infection control – a problem for patient safety. N Engl J Med 2003;348:651-656.

5. 5.Allegranzi B, Bagheri Nejad S, et al. Burden of endemic health care-associated infection in developing countries: a systematic review and metaanalysis. Lancet 2011;377:228-241.

6. 6.Clean care is safer care team. Report on the burden of endemic health care-associated infection worldwide. A systematic review of the literature. World Health Organization, 2011.

7. 7.Sydnor ER, Perl TM. Hospital epidemiology and infection control in acute-care settings. Clin Microbiol Rev 2011;24:141-173.

8. 8.Dancer SJ. Infection control in the post-antibiotic era. Healthcare Infection 2013;18:51-60.

9. 9.Resar R, Griffin FA, Haraden C, Nolan TW. Using care bundles to improve health care quality. IHI innovation series white paper. Cambridge, Massachusetts: Institute for Health care Improvement, 2012.

10. 10.Marschall J, Mermel LA, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:753-771.

11. 11.Klompas M, Branson R, Eichenwald EC, Greene LR, Howell MD, Lee G, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:915-936.

12. 12.Lo E, Nicolle LE, Coffin SE, Gould C, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:464-479.

13. 13.Anderson DJ, Podgorny K, Berríos-Torres SI, , et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:605-627.

14. 14.Dubberke ER, Carling P, Carrico R, et al. Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:628-645.

15. 15.Cooke FJ, Holmes AH. The missing care bundle: antibiotic prescribing in hospitals. Int J Antimicrob Agents 2007;30:25-29.

16. 16.Munoz-Price LS, Quinn JP. Deconstructing the infection control bundles for the containment of carbapenem-resistant Enterobacteriaceae. Curr Opin Infect Dis 2013;26:378-387.

17. 17.Lavallée JF, Gray TA, Dumville J, Russell W, Cullum N. The effects of care bundles on patient outcomes: a systematic review and meta-analysis. Implement Sci 2017;12:142.

18. 18.Ochoa-Hein E, Huertas-Jiménez MA, et al. Surveillance of VAP prevention bundle compliance as a tool for the rapid detection and control of an outbreak due to Stenotrophomonas maltophilia. Open Forum Infectious Diseases 2015;2(Suppl 1):S447.