Upload File

efficacy of curos caps in infection reduction

1
The Efficacy of Curos Caps in Infection Reduction Betsy Bolt, Cherish Shuka, Kassidy De Jong, Megan Young, Professor Michelle Van Wyhe Department of Nursing, Northwestern College Introduction The current practice for accessing a central line or intravenous access point is by sterilizing the hub site manually with an alcohol swab. However, using an alcohol impregnated port protector cap is more effective at both sterilizing the site and reducing the incidence of bloodstream infections. The overall decrease in the incidence of infection shortens the length of hospital stay and lowers treatment costs. The purpose of this literature review is to help provide evidence to Spencer Hospital in Spencer, Iowa regarding the best standard of care for patients with central lines and intravenous access devices. Clinical Question: For patients in an acute care setting with central lines, is using a Curos cap rather than adhering to current practice (sterilizing the hub manually) more effective in decreasing the rate of central line associated bloodstream infections? Method The Johns Hopkins appraisal system (Dang & Dearholt, 2017) method was used to appraise the level and quality of evidence of the literature review. The summary below identifies the rating system of this review. In total, ten evidence-based articles were utilized. Inclusion criteria for articles was that the articles had to have been published within the last ten years and must contain relevant keywords. Databases: CINHAL and 3M Science Keywords: port protector caps, disinfecting caps, needleless caps, disinfecting port protectors, Curos caps Results o Overall Results: alcohol-impregnated port protector caps, such as Curos Caps, decrease bloodstream infections (BSIs) in both peripheral and central intravenous lines, as compared to the traditional method of manually sterilizing the hub o For nurses: decreases time spent on disinfecting hubs as well as simplifies daily nursing tasks o For the Hospital: since the use of alcohol- impregnated caps reduce and prevent infection, the use of such caps could result in a major financial benefit Conclusion Alcohol impregnated port protecting caps, in comparison to the current practice of “scrubbing the hub,” are more beneficial in reducing blood stream infections in both central and peripheral lines. Not only does it reduce the risk of infections, there is a decrease in cost, time spent disinfecting ports, and hospital stay. For the best results, education about the use and compliance of the port protecting caps is necessary for all health care providers. The use of these port protectors is beneficial across the board. Proposed Interventions o Implementing the use of alcohol-impregnated disinfecting port protectors to all needleless connectors as well as all disconnected tubing o Education for providers, such as learning modules and discussions within huddles, among all healthcare providers in order to promote compliance Sources 3M curos disinfecting port protectors. (n.d.). Retrieved September 24, 2018, from 3M Science. Applied to Life. 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=r3 Cameron-Watson, C. (n.d.). Port protectors in clinical practice: an audit. British Journal of Nursing. Retrieved from EBSCOhost database. (Accession No. 114934034) Casey A, Karpanen T, Nightingale P, Elliot T. An in vitro comparison of standard cleaning to a continuous passive disinfection cap for the decontamination of needle-free connectors. Antimicrobial Resistance and Infection Control. 2018; 7(50): 1-5. catheter hub. (n.d.) Mosby's Medical Dictionary, 8th edition. (2009). Retrieved September 26 2018 from https://medical- dictionary.thefreedictionary.com/catheter+hub Danielson, B., Williamson, S., Kaur, G., & Johnson, N. (2014). A Significant Decline in Central Line-associated Blood Stream Infections Using Alcohol- impregnated Port Protectors at a Large Non-profit Acute Care Hospital. American Journal of Infection Control, 42, S16. Dang, D., & Dearholt, S. (2017). Johns Hopkins nursing evidence-based practice: model and guidelines. 3rd ed. Indianapolis, IN: Sigma Theta Tau International. DeVries, M., Mancos, P. S., & Valentine, M. J. (2014). Reducing Bloodstream Infection Risk in Central and Peripheral Intravenous Lines: Initial Data on Passive Intravenous Connector Disinfection. Journal of the Association for Vascular Access, 19(2), 87–93. https://doi- org.ezproxy.nwciowa.edu/10.1016/j.java.2014.02.002 Duncan M, Warden P, Bernatchez S, Morse D. A Bundled Approach to Decrease the Rate of Primary Bloodstream Infections Related to Peripheral Intravenous Catheters. J Assoc 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). Efforts of a Unit Practice Council to implement practice change utilizing alchol impregnated port protectors in a burn ICU. Journal of the International Society for Burn Injuries. Moureau, N. L. (2014). Catheter-associated bloodstream infection prevention: what is missing? British Journal of Healthcare Management, 20(11), 502– 510. Petiprin, A. (2016). Nola Pender - Nursing Theorist. Retrieved November 12, 2016, from nursing-theory.org website: http://nursing-theory.org/nursing-theorists/Nola-Pender.php Ramirez, C., Lee, A. M., & Welch, K. (2012). Central Venous Catheter Protective Connector Caps Reduce Intraluminal Catheter-Related Infection. Journal of the Association for Vascular Access, 17(4), 210–213. https://doi.org/10.1016/j.java.2012.10.002 Voor in 't hold, A. F., Helder, O. K., Vos, M. C., Schafthuizen, L., Sulz, S., van den Hoogen, A., & Ista, E. (2017). Antiseptic barrier cap effective in reducing central line associated bloodstream infections: A systematic review and meta-analysis. International Journal of Nursing Studies, 69(69), 34-40. https://doi.org/10.1016/j.ijnurstu.2017.01.007

Upload: others

Post on 05-Oct-2021

1 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: 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

OpenACC using CAPS Compiler€¦ · OpenACC using CAPS Compiler CAPS OpenACC Compiler XK6 Workshop – ORNL – October 9th 2012 Jean%Charles+Vasnier,+CAPS+entreprise+–ORNL+ [email protected]+

The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic … · 2016. 12. 21. · Tulasi 1 leaves caps 8weeks 250mg/day 2xdaily beforemeal Parallelgroup nointervention ImprovedBMI,lipidprofile

Caps, Floors and Collars - Jan Römanjanroman.dhis.org/stud/AF2 Interest Rate Caps, Floors and Collars.pdf · CAPS AND CAPLETS ... Caps and Floors are counterparts to Call and Put

Manual Civil 3d- Curos Quioch

The Efficacy In Efficacy

Presentacion curos 2012-1A

Designing CAPS markers using SGN CAPS Designer

CAPS · CAPSpharmacy.com 800–853–6498 Contact your regional CAPS pharmacy or CAPS nutrition specialist for your patient–specific needs See attached list of CAPS 503B products

FUEL CAPS ADBLUE CAPS

2wear caps

CAPS GRADE 2 English - Caribbean Tan - CAMI EDUCATIONcamiweb.com/CAPS/English/2014/CAPS Grade 2.pdf · CAMI Education linked to CAPS: CAMI Education linked to CAPS: CAMI Education

CAMI Education linked to CAPS: Mathematicscamiweb.com/CAPS/English/2014/CAPS Grade R.pdf · CAMI Education linked to CAPS: Mathematics - 5 - flash cards and displays labels and symbols

TRUCK CAPS & LIDS / COMMERCIAL CAPS / CARGO MANAGEMENT

Litho Caps

End Caps - brass-fasteners-inserts.com · Related Words : end caps , plastic end caps , rubber end caps , pipe end caps , tube end caps , end caps , pvc end caps ,square end caps

CAPS Submittal

Therapy Caps

FILL CAPS & BungsFILL caPS & Bung assemBlies turn FILL CAPS & BungsFILL caPS & Bung assemBlies This lightweight, non-vented cap features positive grip finger notches and quick-starting

When their ports are protected, so is your peace of mind.multimedia.3m.com/mws/media/1095644O/curos-disinfecting...When their ports are protected, so is your peace of mind. 3M Curos

wheel caps

Curos Seguridad Del Paciente Lorca

Plymouth Classic Hub Caps, Center Caps & Wheel Covers - Hubcaps

Efficacy of a colour conversion filter in colour vision ... · red-green colour defectives to sort the caps correctly The chromatic separation of adjacent caps is an important feature

Cycling Caps

Dental caps

Price Caps

CAPS Survey Accomplishment Report Template Appendix P-2 CAPS Survey Report · 2019-02-20 · CAPS Survey Accomplishment Report Template Appendix P-2 CAPS Survey Report ... Quarterly

Q4FY13 Review – Large Caps Outperformed the small and Mid Caps!

Largest Selection of Men's hats & caps | Beanies ,Trilby & baseball caps

Performance Fasteners - Hillmanwedo.hillmangroup.com/Asset/990649_chrome_0413_lr.pdfBolt Caps Flame Bolt Caps Maltese Cross Bolt Caps Skull Bolt Caps Spoke ... guarantee on our performance

TITLE HERE – 35PT ALL CAPS SUBTITLE HERE – 25PT ALL CAPS

Caps - Final

CAPS. WHAT IS CAPS? Cooperative Agriculture Pest Survey (CAPS) Cooperative Agriculture Pest Survey (CAPS) is a cooperative program requiring coordination

CAPS-1 and CAPS-2 Are Essential Synaptic Vesicle Priming

Heat Shrink, Heat Shrink End Caps, Cable End Caps, Cable