Prevention and Nursing Management for Central Line Associated Blood Stream Infection

Central line associated blood stream infection (CLABSI), is a substantial contributor to in-hospital morbidity and death, as well as increased cost and length of stay in the intensive care unit (ICU). CLABSIs are one of the most deadly for each infection is expected to have a mortality rate of 12-25 percent. CLABSI prevention is important, and nurses play a vital role. Nurses are required to complete initial training as well as annual competence tests for central venous catheter protocol and other skills to ensure that they are delivering direct care to patients using the most up-to-date evidence-based practices. Conclusion: CLABSI prevention bundles are the best method for implementing many interventions at once in addition to standardizing practice. Standard prevention bundles in addition to routine CLABSI education for staff are the most effective methods for preventing infection; it is inevitable that compliance with bundles will vary across healthcare institutions.

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Evaluation of Specific Risk Factors and Outcomes of Colistin-Resistant Klebsiella pneumoniae Infections in a Tertiary Care Centre - An Observational Study

American Journal of Clinical Microbiology and Antimicrobials ◽

10.25107/2578-8841-v4-id1054 ◽

2021 ◽

Vol 4 (2) ◽

pp. 1-6

Author(s):

Prakash Shastri ◽

Shamanth A Shankarnarayan

Keyword(s):

Risk Factors ◽

Blood Stream Infection ◽

Tertiary Care ◽

Venous Catheter ◽

Blood Stream ◽

Central Line ◽

Multidrug Resistant ◽

Automated System ◽

Tertiary Care Centre ◽

Broth Microdilution Method

Background: Incidence of multidrug resistant Klebsiella pnumoniae infections are increasing globally especially in ICUs. Aim: We evaluated the burden of colistin resistant K. pneumoniae (ColR KP) and the risk factors associated with the outcome of these patients. Methods: Consecutive patients developing K. pneumoniae infections were included. K. pneumoniae from endotracheal tube and catheterized urine sample, having cell count <105 cfu/ml, and which did not necessitate a change in antibiotics as per the treating physicians was considered as colonizer. Demographic and clinical details were collected and samples were processed as per standard protocol. Any growth was identified and its antimicrobial susceptibility was carried out by using Vitek 2 automated system. Minimum inhibitory concentration of >4 μg/ml for Colistin was considered as resistant. The resistant isolates were confirmed with Broth microdilution method. Risk factor associated with the outcome of ColR KP was analyzed. Findings: Burden of K. pneumoniae infection was 50.02 per 1000 admissions. K. pneumonie (n=155) was isolated from patients with ventilator associated pneumonia (84, 54.2%), followed by blood stream infection (49, 31.6%) and urinary tract infection (22, 14.2%). ColR KP and intermediate (ColI KP) isolates were 58 (37.41%) and 97 (62.6%) respectively. Among ColR KP infected patients 32 (55.1%) died whereas 26 (44.8%) patients were discharged. Higher mortality was witnessed in ColI KP cases (75, 77.3%) compared to ColR-KP cases (32, 55.1%) (p=0.004; OR=2.77; 95% CI=1.37 to 5.59). Colistin resistance and presence of central line were independently associated with mortality. Conclusion: Colistin resistant K. pneumoniae infections among ICU patients are on rise. Presence of central venous catheter and resistance to colistin were independent predictors of mortality.

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Standardizing Central Venous Catheter Lab Collection Process to Reduce Risk of Central Line Associated Blood Stream Infection

Journal of PeriAnesthesia Nursing ◽

10.1016/j.jopan.2017.06.089 ◽

2017 ◽

Vol 32 (4) ◽

pp. e25

Author(s):

Shanet Sumesh ◽

Jules Enriquez ◽

Staci Eguia

Keyword(s):

Central Venous Catheter ◽

Blood Stream Infection ◽

Venous Catheter ◽

Blood Stream ◽

Central Line ◽

Central Venous ◽

Collection Process ◽

Reduce Risk

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Implementation Of Central Venous Catheter (CVC) Insertion Simulation And Real-Time Feedback To Reduce Central Line Associated Blood Stream Infection (CLA-BSI) In A Teaching ICU

10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a5583 ◽

2011 ◽

Author(s):

M Soth ◽

M Maclennan ◽

M Griffiths-Turner ◽

A Greiter ◽

L Waugh ◽

...

Keyword(s):

Central Venous Catheter ◽

Real Time ◽

Blood Stream Infection ◽

Venous Catheter ◽

Blood Stream ◽

Central Line ◽

Central Venous

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Central Venous Catheter Protective Connector Caps Reduce Intraluminal Catheter-Related Infection

Journal of the Association for Vascular Access ◽

10.1016/j.java.2012.10.002 ◽

2012 ◽

Vol 17 (4) ◽

pp. 210-213 ◽

Cited By ~ 15

Author(s):

Chuck Ramirez ◽

Antonina M. Lee ◽

Ken Welch

Keyword(s):

Intensive Care ◽

Central Venous Catheter ◽

Intensive Care Units ◽

Blood Stream Infection ◽

Prospective Trial ◽

Venous Catheter ◽

Blood Stream ◽

Central Line ◽

Central Venous ◽

Adult Care

Abstract Background: Central line-associated blood stream infection (CLABSI) rates in adult care intensive care units have been decreasing across the board. However, we continued to see just a few infections in patients whose catheters are in for >4 days. Therefore, we looked at infections associated with intraluminal contamination to help reduce our infection rate. Methods: A protective cap trial was developed and implemented in 2 intensive care units. All of the central venous catheter and intravenous tubing access valves were covered with a protective cap saturated with alcohol. This intervention eliminated the need to wipe off intravenous access points with an alcohol swab. The study was done as a nonrandomized prospective trial occurring March 1, 2011 through February 29, 2012. Results: During 2010, there were 4 CLABSI-related infections. By the end of the trial, we had incurred 1 catheter-associated blood stream infection. CLABSI rate reduced from 1.9 in 2010 to 0.5 during the 1-year trial period. Conclusions: The implementation of the port protector cap system resulted in lower infection rates compared with an alcohol swab technique. Our results indicate that consistent use of the caps in tandem with strict compliance does influence CLABSI rates.

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