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Rev Lat Am Enfermagem. 2017 Dec 4;25:e2951. doi: 10.1590/1518-8345.2190.2951.

Impact of two bundles on central catheter-related bloodstream infection in critically ill patients.

[Article in English, Portuguese, Spanish]

Author information

Student in Master's degree, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile. RN, Unidad de Paciente Crítico, Hospital Clinico Red de Salud UC - CHRISTUS, Santiago, Chile.



To evaluate the impact of the implementation of insertion and maintenance bundles on the rates of catheter-related bloodstream infection in an intensive care unit.


This is a quasi-experimental, before-and-after study with a non-equivalent control group. During a six-month period, insertion and maintenance bundles for the central venous catheters were implemented. Supervision guidelines were developed to assess compliance with the bundle and catheter characteristics.


A total of 444 central catheters corresponding to 390 patients were observed, of which 68.7% were inserted in the unit. The maintenance and insertion bundles reached 62.9% and 94.7% compliance, respectively, and 50.7% of the insertions were supervised. It was possible to observe a 54.5% decrease in the rate of central catheter infection (3.48 vs 1.52 x 1000 days/catheter, p<0.05) when compared with the control group.


The simultaneous implementation of insertion and maintenance bundles has a positive impact on the reduction of catheter-related bloodstream infection; therefore it is an efficient alternative to improve the quality and safety of care in high complexity units.

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