3.9 Article

Prevention of nosocomial infections by bundles. Evidence and practical implementation

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Publisher

SPRINGER
DOI: 10.1007/s00063-012-0157-3

Keywords

Catheter-related bloodstream infection; Ventilator associated pneumonia; Implementation; Compliance; Quality control

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There are numerous guidelines for the prevention of hospital-acquired infections; however, adherence to these guidelines is only limited. The bundle concept was developed to facilitate the implementation by prioritizing certain measures. A bundle contains 3-5 evidence-based key interventions. The bundle concept has been successfully applied to reduce central catheter-related bloodstream infections and ventilation-associated pneumonia whereby only strict compliance can help to reduce infections; therefore, the right implementation strategy is essential. This means accurate planning, delegation of responsibilities, education, control of compliance and infection surveillance.

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