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Children in intensive care are kept alive by tubes: a central line into a large vein, a breathing tube, often a urinary catheter. Each is also a road into the body for bacteria, and the infections that follow are among the most preventable things that happen in a hospital. A care bundle is the usual answer. Rather than one intervention it fixes a short list of steps to be done every time, the same way, and audits whether they were. Bundles are recommended everywhere and adopted almost as widely, which makes it easy to assume the question is closed. It is not. Most of the studies behind them compare a unit with itself before and after, which is the design that flatters anything introduced with enthusiasm, and the rates they report move with the season, with staffing, with who is counting, and with the plain fact that people work differently while somebody is watching. This project reads that literature and asks what a unit can honestly expect from a bundle. Reading, tabulating and writing, ending in a submitted paper.
Read up on hospital-acquired infection and on what a care bundle is. Take one device or one part of the question, read the papers for it, build the table that goes with it, and write that section of the review.
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