Hospital-Wide Reduction in Central Line–Associated Bloodstream Infections: A Tale of Two Small Community Hospitals

2011 ◽  
Vol 32 (6) ◽  
pp. 619-622 ◽  
Author(s):  
Aysegul Gozu ◽  
Colleen Clay ◽  
Faheem Younus
Keyword(s):  
Tertiary Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
Small Community ◽  
Community Hospitals ◽  
Central Line Insertion ◽  
Line Insertion ◽  
Large Tertiary Care ◽  
Tertiary Care Centers ◽  
General Wards

Despite increasing awareness of central line-associated bloodstream infections (CLABSIs) in general wards, published strategies come from intensive care units (ICUs) of large tertiary care centers. After implementing a central line insertion checklist, two community hospitals experienced an 86% reduction in CLABSI rates in ICUs and a 57% reduction in non-ICU settings over 36 months.

Insertion site inflammation was associated with central-line–associated bloodstream infections at a tertiary-care center, 2015–2018

2020 ◽  
pp. 1-3
Author(s):  
Takaaki Kobayashi ◽  
Gosia S. Clore ◽  
Mary E. Kukla ◽  
Mohammed Alzunitan ◽  
Jeffrey Kritzman ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Insertion Site ◽  
Bloodstream Infections ◽  
Central Line ◽  
Tertiary Care Center ◽  
Central Line Insertion ◽  
Line Insertion ◽  
Automated Surveillance ◽  
Site Evaluation

Abstract There are currently no guidelines for central-line insertion site evaluation. Our study revealed an association between insertion site inflammation (ISI) and the development of central-line–associated bloodstream infections (CLABSIs). Automated surveillance for ISI is feasible and could help prevent CLABSI.

scholarly journals Infection Prevention Practices in Neonatal Intensive Care Units Reporting to the National Healthcare Safety Network

2014 ◽  
Vol 35 (9) ◽  
pp. 1126-1132 ◽  
Author(s):  
Susan N. Hocevar ◽  
Fernanda C. Lessa ◽  
Lauren Gallagher ◽  
Craig Conover ◽  
Rachel Gorwitz ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Optimal Strategies ◽  
Bloodstream Infections ◽  
Central Line ◽  
Central Line Insertion ◽  
National Healthcare ◽  
Line Insertion ◽  
National Healthcare Safety Network ◽  
Healthcare Associated

Background.Patients in the neonatal intensive care unit (NICU) are at high risk for healthcare-associated infections. Variability in reported infection rates among NICUs exists, possibly related to differences in prevention strategies. A better understanding of current prevention practices may help identify prevention gaps and areas for further research.MethodsWe surveyed infection control staff in NICUs reporting to the National Healthcare Safety Network (NHSN) to assess strategies used to prevent methicillin-resistant Staphylococcus aureus (MRSA) transmission and central line–associated bloodstream infections in NICUs.ResultsStaff from 162 of 342 NICUs responded (response rate, 47.3%). Most (92.3%) NICUs use central line insertion and maintenance bundles, but maintenance practices varied, including agents used for antisepsis and frequency of dressing changes. Forty-two percent reported routine screening for MRSA colonization upon admission for all patients. Chlorhexidine gluconate (CHG) use for central line care for at least 1 indication (central line insertion, dressing changes, or port/cap antisepsis) was reported in 82 NICUs (51.3%). Among sixty-five NICUs responding to questions on CHG use restrictions, 46.2% reported no restrictions.ConclusionsOur survey illustrated heterogeneity of CLABSI and MRSA prevention practices and underscores the need for further research to define optimal strategies and evidence-based prevention recommendations for neonates.Infect Control Hosp Epidemiol 2014;35(9):1126-1132

Reduction of central line-associated bloodstream infections in a large acute care hospital in Midwest United States following implementation of a comprehensive central line insertion and maintenance bundle

2021 ◽  
pp. 175717742110124
Author(s):  
Abraham E Wei ◽  
Ronald J Markert ◽  
Christopher Connelly ◽  
Hari Polenakovik
Keyword(s):  
Medical Condition ◽  
Acute Care Hospital ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Central Line ◽  
Annual Number ◽  
Care Hospital ◽  
Central Line Insertion ◽  
Line Insertion ◽  
The Impact

Background: Central line-associated bloodstream infection (CLABSI) is a preventable medical condition that results in increased patient morbidity and mortality. We describe the impact of various quality improvement interventions on the incidence of CLABSI in an 848-bed community teaching hospital from 1 January 2013 to 31 December 2017. Aim: To reduce CLABSI rates after implementation of a comprehensive central line insertion and maintenance bundle. Methods: A comprehensive bundle of interventions was implemented incorporating the standard US Centers for Disease Control and Prevention bundle with additional measures such as root-cause analysis of all CLABSI cases, use of passive disinfection caps on vascular access ports, standardisation of weekly central venous catheter (CVC) site dressing changes, and use of antithrombotic and antimicrobial-coated CVCs with fewer lumens. A retrospective study evaluated CLABSI rates and time of CLABSI onset after CVC placement in both intensive care unit (ICU) and non-ICU settings. Results: The annual number of CLABSI cases declined 68% (34 to 11 patients) from 2013 to 2017. There was a 30% decline in CVC days from years 2014 to 2017. Over the same period, CLABSI cases per 1000 CVC days decreased from 0.624 to 0.362: a 42% decline. Conclusion: Following the implementation of a comprehensive bundle of interventions for CVC insertion and maintenance, we found a reduction in rates of CLABSI.

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