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Table 4 Compliance with ventilator-associated pneumonia, central line-associated bloodstream infection, catheter-associated urinary tract infection and hand hygiene preventive bundles

From: Device associated –health care associated infections monitoring, prevention and cost assessment at intensive care unit of University Hospital in Poland (2015–2017)

VAP CA-UTI CLA-BSI Hand Hygiene
Elements of bundle Compliance with bundle Elements of bundle Complaince with bundle Elements of bundle Compliance with bundle Elements of bundle Compliance with bundle
1. 30–50 elevation of head 96,2% 1. Catheter needed 96% 1. Maximal precaution barriers 82% 1. General compliance 64,66%
2. 1. Mechanical ventilator use 96,2% 2. Maximal barriers precautions when inserted 83% 2. Chlorhexidine skin antisepsis 82% 2.Stratified by health workers Medical doctors -consultants: 100%
Medical doctors-residents: 83%
3. Type of invasive ventilation1. Orotracheal:
49,5%
Tracheostomy: 50,5%
3. Single-use lubricant used 83% 3. Insertion place and type of catheter Yugular: 71%
Subclavian: 29%
Nurse 67%
Housekeeper:50%
4. Performed assessments of readiness to wean 77,2% 4. Presence of securement of the catheter 100% 4. Catheter is necessary 97% 3.Stratified by genders Male: 81%
5. Subglottic suctioning 70,2% 5. Sterile closed drainage system 100% 5. Presence of sterile dressing 100%
6. Endotracheal cuff pressure of at least 20 cm 65,6% 6. Urinary catheter never disconnected 91,25% 6. Type of dressing: Sterile transparent dressing: 93% Sterile gauze: 7% Female: 64%
7. Comprehensive oral care, with an antiseptic solution 91% 7. Urinary catheter above the leg 97,5% 7. Good condition of dressing 92%   
8. Condensate in ventilatory circuits 24,2% 8. Urinary collecting bag below the level of bladder 100% 8. Chlorhexidine impragnated dressing 29% 4.Proportion of 5 movements for hand hygiene After body fluid exposition risk: 66,5%
Before aspetic task: 100%
After patient contact: 76,3%
9. Gastric over- distention 8,6% 9. Urinary collecting bag with less than 75% of capacity full 95,25% 9.Type of set connector Needle less connector (split-septum): 100% After contact with patient surroundings: 60%
Before patient contact: 53,5%
10. Stress ulcer prophylaxis 88,4% 10. Catheter indication: Monitoring: 100% 10. Type of fluid container Collapsible: 29%
Semi- rigid: 71%
5.Stratified by time shift Morning 80%
Afternoon 64%
11. Deep vein thrombosis prophylaxis Yes: 93%
Contraindicated: 7%
11. Catheter type: Indwelling: 100% 11. Administration equipment date 100%   
12. Patients with inserted urinary catheter: 100% 12 Chlorhexidine washbathing 0%   
  1. Abbreviations: CA-UTI catheter-associated urinary tract infection; CLA-BSI central line-associated bloodstream infection; VAP ventilator-associated pneumonia