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"CLABSI bundle process audits revealed that “hub the rub” was the most commonly missed or inadequately performed step, even after multiple training and feedback sessions" Hussain et al (2025).
Evaluating the effectiveness of antiseptic barrier caps

Extract:

“During monthly surveillance in our hospital, it was noted that our CLABSI rate was increasing compared to previous internal benchmarks. This increase was initially thought to be a consequence of COVID-19 pandemic-related inadequate compliance with infection control practices and high nurse attrition. CLABSI bundle process audits revealed that “hub the rub” was the most commonly missed or inadequately performed step, even after multiple training and feedback sessions. As an additional measure to reduce CLABSI rates, we introduced ABC in selected surgical and medical ICUs. We noted a reduction in CLABSI rates in all ICUs during the post-implementation period.”

Reference:

Hussain F, Ananthanarayanan R, Niyas VKM. Evaluating the effectiveness of antiseptic barrier caps in reducing central line-associated bloodstream infections in the adult ICU. Antimicrob Steward Healthc Epidemiol. 2024 Dec 30;4(1):e227. doi: 10.1017/ash.2024.462. PMID: 39949855; PMCID: PMC11822615.

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