Efficacy of Curos Caps in Infection Reduction
Transcript of Efficacy of Curos Caps in Infection Reduction
TheEfficacyofCuros CapsinInfectionReductionBetsyBolt,CherishShuka,KassidyDeJong,MeganYoung,
ProfessorMichelleVanWyheDepartmentofNursing,NorthwesternCollege
IntroductionThecurrentpracticeforaccessingacentrallineorintravenousaccesspointisbysterilizingthehubsitemanuallywithanalcoholswab.However,usinganalcoholimpregnatedportprotectorcapismore
effectiveatbothsterilizingthesiteandreducingtheincidenceofbloodstreaminfections.Theoveralldecreaseintheincidenceofinfectionshortensthelengthofhospitalstayandlowerstreatmentcosts.Thepurposeofthisliteraturereviewistohelp
provideevidencetoSpencerHospitalinSpencer,Iowaregardingthebeststandardofcareforpatientswith
centrallinesandintravenousaccessdevices.
ClinicalQuestion:Forpatientsinanacutecaresettingwithcentrallines,isusingaCuros capratherthanadheringtocurrentpractice(sterilizingthehubmanually)moreeffectiveindecreasingtherateofcentrallineassociatedbloodstreaminfections?
MethodTheJohnsHopkinsappraisalsystem(Dang&
Dearholt,2017)methodwasusedtoappraisethelevelandqualityofevidenceoftheliteraturereview.Thesummarybelowidentifiestheratingsystemofthisreview. Intotal,tenevidence-basedarticleswereutilized.Inclusioncriteriaforarticleswasthatthe
articleshadtohavebeenpublishedwithinthelasttenyearsandmustcontainrelevantkeywords.
Databases:CINHALand3MScienceKeywords:portprotectorcaps,disinfectingcaps,needlelesscaps,disinfectingportprotectors,Curos
caps
Resultso OverallResults:alcohol-impregnatedportprotectorcaps,suchasCuros Caps,decreasebloodstreaminfections(BSIs)inbothperipheralandcentralintravenouslines,ascomparedtothetraditionalmethodofmanuallysterilizingthehub
o Fornurses:decreasestimespentondisinfectinghubsaswellassimplifiesdailynursingtasks
o FortheHospital:sincetheuseofalcohol-impregnatedcapsreduceandpreventinfection,theuseofsuchcapscouldresultinamajorfinancialbenefit
ConclusionAlcohol impregnated portprotectingcaps,
in comparisontothecurrentpracticeof“scrubbingthehub,”aremorebeneficialinreducingbloodstream
infectionsinboth central andperipherallines.Notonlydoesitreducetheriskofinfections,thereisadecreaseincost,timespentdisinfectingports,and
hospitalstay.For thebestresults,educationabouttheuseandcomplianceoftheport protecting capsisnecessary
forallhealthcareproviders.Theuseoftheseportprotectorsisbeneficialacross
theboard.
ProposedInterventionso Implementingtheuseofalcohol-impregnateddisinfectingportprotectors toallneedlelessconnectorsaswellasalldisconnectedtubing
o Educationforproviders,suchaslearningmodulesanddiscussionswithinhuddles,amongallhealthcareprovidersinordertopromotecompliance
Sources3Mcuros disinfectingportprotectors.(n.d.).RetrievedSeptember24,2018,from3MScience.AppliedtoLife.website:https://www.3m.com/3M/en_US/company-us/all-3m-products/~/All-3M-Products/Health-Care/Medical/Curos/?N=5002385+8707795+8707798+8711017+8717585+3294857497&rt=r3Cameron-Watson,C.(n.d.).Portprotectorsinclinicalpractice:anaudit.BritishJournalofNursing.RetrievedfromEBSCOhostdatabase. (AccessionNo.114934034)CaseyA,Karpanen T,NightingaleP,ElliotT.Aninvitrocomparisonofstandardcleaningtoacontinuouspassivedisinfectioncapforthedecontaminationofneedle-freeconnectors.AntimicrobialResistanceandInfectionControl.2018;7(50):1-5.catheterhub.(n.d.)Mosby'sMedicalDictionary,8thedition.(2009).RetrievedSeptember262018fromhttps://medical-dictionary.thefreedictionary.com/catheter+hubDanielson,B.,Williamson,S.,Kaur,G.,&Johnson,N.(2014).ASignificantDeclineinCentralLine-associatedBloodStreamInfectionsUsingAlcohol-impregnatedPortProtectorsataLargeNon-profitAcuteCareHospital.AmericanJournalofInfectionControl,42,S16.Dang,D.,&Dearholt,S.(2017).JohnsHopkinsnursingevidence-basedpractice:modelandguidelines.3rded.Indianapolis,IN:SigmaThetaTauInternational.DeVries,M.,Mancos,P.S.,&Valentine,M.J.(2014).ReducingBloodstreamInfectionRiskinCentralandPeripheralIntravenous Lines:InitialDataonPassiveIntravenousConnectorDisinfection.JournaloftheAssociationforVascularAccess,19(2),87–93.https://doi-org.ezproxy.nwciowa.edu/10.1016/j.java.2014.02.002DuncanM,WardenP,Bernatchez S,MorseD.ABundledApproachtoDecreasetheRateofPrimaryBloodstreamInfectionsRelatedtoPeripheralIntravenousCatheters.JAssoc Vasc Access.2018;23(1):15-22.Martino,A.,Thompson,L.,Mitchell,C.,Trichel,R.,Chappell,W.,Miller,J.,Allen,D.,Mann-Salinas,E.(2017).EffortsofaUnitPracticeCounciltoimplementpracticechangeutilizingalchol impregnatedportprotectorsinaburnICU.JournaloftheInternationalSocietyforBurnInjuries.Moureau,N.L.(2014).Catheter-associatedbloodstreaminfectionprevention:whatismissing?BritishJournalofHealthcareManagement, 20(11),502–510.Petiprin,A.(2016).NolaPender- NursingTheorist.RetrievedNovember12,2016,fromnursing-theory.orgwebsite:http://nursing-theory.org/nursing-theorists/Nola-Pender.phpRamirez,C.,Lee,A.M.,&Welch,K.(2012).CentralVenousCatheterProtectiveConnectorCapsReduceIntraluminalCatheter-RelatedInfection.JournaloftheAssociationforVascularAccess,17(4),210–213.https://doi.org/10.1016/j.java.2012.10.002Voor in'thold,A.F.,Helder,O.K.,Vos,M.C.,Schafthuizen,L.,Sulz,S.,vandenHoogen,A.,&Ista,E.(2017).Antisepticbarriercapeffectiveinreducingcentrallineassociatedbloodstreaminfections:Asystematicreviewandmeta-analysis.InternationalJournalofNursingStudies, 69(69),34-40.https://doi.org/10.1016/j.ijnurstu.2017.01.007