TheEfficacyofCuros CapsinInfectionReductionBetsyBolt,CherishShuka,KassidyDeJong,MeganYoung,

ProfessorMichelleVanWyheDepartmentofNursing,NorthwesternCollege

IntroductionThecurrentpracticeforaccessingacentrallineorintravenousaccesspointisbysterilizingthehubsitemanuallywithanalcoholswab.However,usinganalcoholimpregnatedportprotectorcapismore

effectiveatbothsterilizingthesiteandreducingtheincidenceofbloodstreaminfections.Theoveralldecreaseintheincidenceofinfectionshortensthelengthofhospitalstayandlowerstreatmentcosts.Thepurposeofthisliteraturereviewistohelp

provideevidencetoSpencerHospitalinSpencer,Iowaregardingthebeststandardofcareforpatientswith

centrallinesandintravenousaccessdevices.

ClinicalQuestion:Forpatientsinanacutecaresettingwithcentrallines,isusingaCuros capratherthanadheringtocurrentpractice(sterilizingthehubmanually)moreeffectiveindecreasingtherateofcentrallineassociatedbloodstreaminfections?

MethodTheJohnsHopkinsappraisalsystem(Dang&

Dearholt,2017)methodwasusedtoappraisethelevelandqualityofevidenceoftheliteraturereview.Thesummarybelowidentifiestheratingsystemofthisreview. Intotal,tenevidence-basedarticleswereutilized.Inclusioncriteriaforarticleswasthatthe

articleshadtohavebeenpublishedwithinthelasttenyearsandmustcontainrelevantkeywords.

Databases:CINHALand3MScienceKeywords:portprotectorcaps,disinfectingcaps,needlelesscaps,disinfectingportprotectors,Curos

caps

Resultso OverallResults:alcohol-impregnatedportprotectorcaps,suchasCuros Caps,decreasebloodstreaminfections(BSIs)inbothperipheralandcentralintravenouslines,ascomparedtothetraditionalmethodofmanuallysterilizingthehub

o Fornurses:decreasestimespentondisinfectinghubsaswellassimplifiesdailynursingtasks

o FortheHospital:sincetheuseofalcohol-impregnatedcapsreduceandpreventinfection,theuseofsuchcapscouldresultinamajorfinancialbenefit

ConclusionAlcohol impregnated portprotectingcaps,

in comparisontothecurrentpracticeof“scrubbingthehub,”aremorebeneficialinreducingbloodstream

infectionsinboth central andperipherallines.Notonlydoesitreducetheriskofinfections,thereisadecreaseincost,timespentdisinfectingports,and

hospitalstay.For thebestresults,educationabouttheuseandcomplianceoftheport protecting capsisnecessary

forallhealthcareproviders.Theuseoftheseportprotectorsisbeneficialacross

theboard.

ProposedInterventionso Implementingtheuseofalcohol-impregnateddisinfectingportprotectors toallneedlelessconnectorsaswellasalldisconnectedtubing

o Educationforproviders,suchaslearningmodulesanddiscussionswithinhuddles,amongallhealthcareprovidersinordertopromotecompliance

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