Resultados de la aplicación del proyecto Bacteriemia Zero en CatalunyaResults of the implementation of the Bacteremia Zero project in Catalonia, Spain

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Resumen

El proyecto nacional Bacteriemia Zero (BZ) consiste en la aplicación simultánea de un paquete de medidas para la prevención de bacteriemias relacionadas con catéteres venosos centrales (B-CVC) en los pacientes críticos y en el desarrollo de un plan integral en seguridad. El objetivo es presentar los resultados de la aplicación del proyecto BZ en las unidades de cuidados intensivos (UCI) de la comunidad autónoma de Catalunya.

Se han incluido todos los pacientes ingresados en las UCI participantes de Catalunya en el registro ENVIN-HELICS desde enero de 2009 hasta junio de 2010. Han aportado información 36 UCI (92,3%) de las 39 posibles. Se han diagnosticado 281 episodios de B-CVC (tasa global de 2,53 episodios por 1.000 días de CVC). Las tasas han variado significativamente entre las UCI que han participado más o menos de 12 meses en el proyecto (2,17 frente a 4,27 episodios por 1.000 días de CVC, respectivamente; p < 0,0001).

La aplicación del proyecto BZ en Catalunya ha disminuido la tasa de las B-CVC en las UCI de esta comunidad en más del 40%, mejorando el objetivo inicial de 4 episodios por 1.000 días de CVC.

Abstract

The nationwide Bacteremia Zero (BZ) Project consists in the simultaneous implementation of measures to prevent central venous catheter-related bacteremia (CVC-B) in critically ill patients and in the development of an integral safety plan. The objective is to present the results obtained after the implementation of the BZ project in the ICUs of the Autonomous Community of Catalonia, Spain.

All patients admitted to ICUs in Catalonia participating in the ENVIN-HELICS registry between January 2009 and June 2010 were included. Information was provided by 36 (92.3%) of the total possible 39 ICUs. A total of 281 episodes of CVC-B were diagnosed (overall rate of 2.53 episodes per 1000 days of CVC).

The rates have varied significantly between ICUs that participated in the project for more or less than 12 months (2.17 vs. 4.27 episodes per 1000 days of CVC, respectively; p<.0001).

The implementation of the BZ Project in Catalonia has been associated with a decrease greater than 40% in the CVC-B rates in the ICUs of this community, which is much higher than the initial objective of 4 episodes per 1000 days of CVC).

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Referencias no citadas

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La composición del Consell Assessor del Proyecto Bacteriemia Zero en Catalunya se relaciona al final del artículo.

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