Table 4 Compliance with ventilator-associated pneumonia, central line-associated bloodstream infection, catheter-associated urinary tract infection and hand hygiene preventive bundles
VAP | CA-UTI | CLA-BSI | Hand Hygiene | ||||
|---|---|---|---|---|---|---|---|
Elements of bundle | Compliance with bundle | Elements of bundle | Complaince with bundle | Elements of bundle | Compliance with bundle | Elements of bundle | Compliance with bundle |
1. 30–50 elevation of head | 96,2% | 1. Catheter needed | 96% | 1. Maximal precaution barriers | 82% | 1. General compliance | 64,66% |
2. 1. Mechanical ventilator use | 96,2% | 2. Maximal barriers precautions when inserted | 83% | 2. Chlorhexidine skin antisepsis | 82% | 2.Stratified by health workers | Medical doctors -consultants: 100% |
Medical doctors-residents: 83% | |||||||
3. Type of invasive ventilation1. | Orotracheal: 49,5% Tracheostomy: 50,5% | 3. Single-use lubricant used | 83% | 3. Insertion place and type of catheter | Yugular: 71% Subclavian: 29% | Nurse 67% | |
Housekeeper:50% | |||||||
4. Performed assessments of readiness to wean | 77,2% | 4. Presence of securement of the catheter | 100% | 4. Catheter is necessary | 97% | 3.Stratified by genders | Male: 81% |
5. Subglottic suctioning | 70,2% | 5. Sterile closed drainage system | 100% | 5. Presence of sterile dressing | 100% | ||
6. Endotracheal cuff pressure of at least 20 cm | 65,6% | 6. Urinary catheter never disconnected | 91,25% | 6. Type of dressing: | Sterile transparent dressing: 93% Sterile gauze: 7% | Female: 64% | |
7. Comprehensive oral care, with an antiseptic solution | 91% | 7. Urinary catheter above the leg | 97,5% | 7. Good condition of dressing | 92% | ||
8. Condensate in ventilatory circuits | 24,2% | 8. Urinary collecting bag below the level of bladder | 100% | 8. Chlorhexidine impragnated dressing | 29% | 4.Proportion of 5 movements for hand hygiene | After body fluid exposition risk: 66,5% |
Before aspetic task: 100% | |||||||
After patient contact: 76,3% | |||||||
9. Gastric over- distention | 8,6% | 9. Urinary collecting bag with less than 75% of capacity full | 95,25% | 9.Type of set connector | Needle less connector (split-septum): 100% | After contact with patient surroundings: 60% | |
Before patient contact: 53,5% | |||||||
10. Stress ulcer prophylaxis | 88,4% | 10. Catheter indication: | Monitoring: 100% | 10. Type of fluid container | Collapsible: 29% Semi- rigid: 71% | 5.Stratified by time shift | Morning 80% Afternoon 64% |
11. Deep vein thrombosis prophylaxis | Yes: 93% Contraindicated: 7% | 11. Catheter type: | Indwelling: 100% | 11. Administration equipment date | 100% | ||
12. Patients with inserted urinary catheter: | 100% | 12 Chlorhexidine washbathing | 0% | ||||