Evaluation of the implementation of a care-bundle in nosocomial infections in a hospital in Lima.
DOI:
https://doi.org/10.20453/renh.v20i20.5351Abstract
Objective: Healthcare-associated infections (HAIs) are a public health problem. An investigation was carried out in order to evaluate the result of the implementation of a care package in the prevention of these infections, in patients admitted to the ICU of a public hospital in Lima, in 2022. Materials and Method: The design of the The study was quantitative, applied and pre-experimental, measuring the incidence rates before and after the implementation of the prevention packages, which consisted of the application of the care-bundle, to all patients hospitalized in said unit.
Results: The HAI rate decreased from 43.8 to 8.64 per 100 hospitalized patients (p=0.039); the incidence of bacteremia decreased from 7.16 to 0.66 x 1000 d-CVC (p=0.020); that of pneumonia decreased from 12.96 to 4.65 x 1000 d-VM (p=0.047); There being no results on urinary infections. There was a significant correlation between the adequate implementation of the bundle (more than 80% compliance) and the decrease in the rates of bacteremia and pneumonia (Spearman's Rho: 0.008 and 0.005, respectively) unlike the urinary infections bundle that did not achieve an adequate implementation (p=0.468). Conclusions: The implementation of the care-bundle had a positive result in the prevention of HAI, requiring an adequate implementation of the bundle.
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