{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:28:50Z","timestamp":1793957330357,"version":"4.8.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Infection Prevention"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>\n                    Catheter-related bloodstream infections (CRBSI) are a major cause of morbidity, mortality, and increased healthcare costs among hospital-acquired infections. To reduce CRBSI, the Infection Prevention and Control and Antimicrobial Resistance Program (UL-PPCIRA) reviewed current guidelines and implemented an intensive training project for healthcare professionals. Following the publication of care bundles, cascade training was conducted for staff involved in central line insertion and maintenance. This study aimed to evaluate the impact of this continuous quality improvement project on CRBSI incidence in a tertiary hospital. Three consecutive periods of 2\u00a0years were analyzed: two before and one after implementation. CRBSI rates were 1.84, 1.68, and 0.65 per 1000 catheter-days in periods 1, 2, and 3, respectively. No significant difference was observed between periods 1 and 2 (IRR 0.92, 95% CI 0.52\u20131.63). In contrast, period 3 showed a significant reduction compared to period 2 (IRR 0.35, 95% CI 0.14\u20130.78;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .02). The implementation of standardized care bundles, supported by structured training, was associated with a significant reduction in CRBSI. Ongoing monitoring and reinforcement strategies are essential to ensure long-term sustainability.\n                  <\/jats:p>","DOI":"10.1177\/17571774261493081","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:23:53Z","timestamp":1791631433000},"page":"356-360","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Catheter-related bloodstream infection reduction using systematic training in a Portuguese tertiary care hospital"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4508-3351","authenticated-orcid":false,"given":"In\u00eas","family":"Carolino Gomes","sequence":"first","affiliation":[{"name":"Unidade Local de Sa\u00fade de Lisboa Ocidental"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filipa","family":"Carvas Feliciano","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de Lisboa Ocidental"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de Lisboa Ocidental"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina","family":"Concei\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de Lisboa Ocidental"},{"name":"Unidade Local de Sa\u00fade de Lisboa Ocidental"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_6_2_1","volume-title":"Guidelines for the prevention of bloodstream infections and other infections associated with the use of intravascular catheters: Part I: Peripheral catheters","author":"Avortri G","year":"2024","unstructured":"Avortri G, Bertagnolio S, Bonet M, et al. (2024) Guidelines for the prevention of bloodstream infections and other infections associated with the use of intravascular catheters: Part I: Peripheral catheters. World Health Organization."},{"key":"e_1_3_6_3_1","unstructured":"Barnes S Olmsted RN Monsees E et al. (2015). Guide to preventing central line-associated bloodstream infections (APIC Implementation Guide). Association for Professionals in Infection Control and Epidemiology. https:\/\/apic.org\/Resource_\/TinyMceFileManager\/2015\/APIC_CLABSI_WEB.pdf"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu239"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2022.87"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-018-1374-5"},{"key":"e_1_3_6_7_1","volume-title":"Hospital-acquired infections: a cost estimation for CLABSI in Portugal","author":"Fiorentino F","year":"2014","unstructured":"Fiorentino F, Pita Barros P (2014) Hospital-acquired infections: a cost estimation for CLABSI in Portugal."},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.134184"},{"key":"e_1_3_6_9_1","doi-asserted-by":"crossref","unstructured":"Li S Zuo J Xie Y et al. (2026) Dynamic shifts in pathogen ecology of catheter-related bloodstream infections: temporal trends and ward-specific risk landscapes. Frontiers in Medicine12: Article 1665350.","DOI":"10.3389\/fmed.2025.1665350"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860614568647"}],"container-title":["Journal of Infection Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261493081","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17571774261493081","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261493081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T08:57:46Z","timestamp":1793955466000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17571774261493081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/17571774261493081"],"URL":"https:\/\/doi.org\/10.1177\/17571774261493081","relation":{},"ISSN":["1757-1774","1757-1782"],"issn-type":[{"value":"1757-1774","type":"print"},{"value":"1757-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]}}}