Preventive measures for norovirus infection outbreak

Yoshiki Imagawa, Toshikazu Kawasaki, Takashi Mizusaka, Kouhei Shiomi, Tomoko Kawata, Junko Goto
2015 Journal of Microbiology, Immunology and Infection  
to reduce the CLABSI (Catheter related bloodstream infection) in an acute care unit. Methods: This unit has 63 beds with different internal medicine patients and was required to introduce a new CVC care bundle to reduce the high CLABSI. We use "Situational leading theory" (Paul Hersey & Kenneth Blanchard, 1969) and "Change theory" (Kurt Lewin, 1947) to introduce and also process the CVC infection control strategy. Results: Totally, there were 197 central venous catheters inserted. The inserted
more » ... rted. The inserted sites were at sub-clavicular and internal jugular vein (156) and femoral site (41). The compliance rate of insertion was 69.54% (except insertion at emergency room 16.24%, refused by doctors 14.21%). The rate of CLABSI dropped from 1.91 to 0.95 0/00 . After the use of two renowned theories, we introduced a CVC care bundle successfully and also reduced the rate of CLABSI (-50.26%). Conclusions: With this study to improve catheter-related bloodstream infections, thereby reducing the central venous catheter-related bloodstream infection rate, to enhance patient safety, and benefits.
doi:10.1016/j.jmii.2015.02.345 fatcat:gfqnjjmgxrbjhfvaiec5jonwdi