Effectiveness of Care Bundles to Prevent Central Line Associated Blood Stream Infection (CLABSI) in Patient Admitted in ICU - A Systemic Review

Care bundles are structured packages of evidence based practices that aim to improve patient care process and patient outcomes. Care bundles have been shown to be effective in reducing rate of CLABSIs in adult intensive care units (ICUs). A systematic review was conducted to assess the evidence for the effectiveness of care bundles in reducing CLABSI rate in intensive care unit (ICU). A systematic literature search was conducted from December 2016 to December 2021 by adapting Preferred reporting Items for Systemic Review and Meta - Analysis (PRISMA) guidelines. Research studies were searched in the electronic database (J Gate, Science Direct. com, PubMed, Google Scholar, Research Gate, DELNET and Medline library published) on effectiveness of care bundle to prevent CLABSI in patients admitted in ICU. Eleven studies were eligible for inclusion in this systemic review. Three studies (27.2%) were performed in North India, two (18.2%) in North Taiwan, one (9.1%) in Canberra, one (9.1%) in Korea, one (9.1%) in Tennessee, one (9.1%) in Greece, one (9.1%) in Australia and one (9.1%) in Turkey. All eleven studies included in this systemic review were non - randomized intervention studies. Analysis of all 11 studies reveals that there is a significant reduction in CLABSI rate after the introduction of a care bundle in intensive care unit. As the elements of care bundle were not explored in this systemic review, the researcher recommend that in future research focus on processes that promote recommendation, effective implementation to prevent infection and essential elements of bundle are recommended.