Development of Central Line Associated Bloodstream Infection (CLABSI) Prevention Model
Central Line Associated Bloodstream Infection Prevention
Keywords:
CLABSI, scrub the hub, push pause techniqueAbstract
The main complication of inserting a central venous line to blood vessel is blood stream infection called Central Line Associated Bloodstream Infection (CLABSI). This action research was aimed to improve the caring model for patients with central venous line and decrease the infection rate in Buddhachinaraj Phitsanulok Hospital during January-December 2018. Phase I was conducted by case review and focus group of 21 nurse and doctor staffs to analyze the caring of central venous line. Phase II, developing the model called CLABSI by using findings from phase I as evidence best practice. Determine the feasibility and appropriateness of the model by three experts, evaluated model in phase III. The model was applied to two wards with 63 patients in six months period, Qualitative data were collected from focus group discussions. Quantitative data were analyzed by percentage of frequency, median, Mann-Whitney U test, chi-square test, Fisher’s exact test and exact probability test with statistical significance at 0.05. The results of model were consisted a) Hand hygiene b) Wound dressing c) Scrub the hub d) Push pause technique e) Needs of central venous line usage. The results revealed no CLABSI infection. Nurse staffs were satisfied with CLABSI prevention model in the extreme level and the most level more than 80%. The developed CLABSI prevention model reduces infection and can be used in hospital. Further studies should be done in patients with long term catheter placement.
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