An Analysis of Outcomes Following a Central Line Associated Blood Stream Infections (CLABSI) Reduction Quality Improvement Project in a Tertiary Care Center

被引:4
|
作者
Harris, Ronald [1 ]
Rosser, Morgan [2 ]
Mehdiratta, Nitin [2 ]
Chowdhurry, Anand [3 ]
Smith, Becky [4 ]
Krishnamoorthy, Vijay [2 ]
机构
[1] Duke Univ, Sch Med, Anesthesiol, Durham, NC USA
[2] Duke Univ, Med Ctr, Anesthesiol, Durham, NC 27708 USA
[3] Duke Univ, Med Ctr, Pulm & Crit Care Med, Durham, NC USA
[4] Duke Univ, Med Ctr, Infect Dis, Durham, NC USA
关键词
central venous catheters; central line-associated infections (clabsi); intensive care unit; infection control; quality improvement; CATHETER-RELATED INFECTION; POVIDONE-IODINE; PREVENTION; CHLORHEXIDINE; ALCOHOL;
D O I
10.7759/cureus.42501
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Central Line Associated Blood Stream Infections (CLABSI) continue to be a significant complication for hospitalized patients. Hospitals have used various strategies to reduce CLABSI events due to the significant complications and associated costs. In this QI analysis, we examined the impact of a CLABSI reduction quality improvement project within a single ICU at a tertiary care medical center. Absolute CLABSI counts were compared between this ICU and other health system ICUs that did not implement the bundle. A sustained reduction in absolute CLABSI counts to or near zero was observed over 17 months after implementation. ICUs not performing the interventions during this time consistently reported & GE; 2 CLABSI per month. Further analysis is needed to assess causality and the generalizability of bundle components to other ICUs. These findings may provide other health systems with additional strategies to prevent CLABSI and provide consistent, evidence-based supportive care to critically ill patients.
引用
收藏
页数:5
相关论文
共 50 条
  • [31] Preventing central-line-associated bloodstream infections in pediatric specialized care units: A case study of successful quality improvement
    McLaughlin, Gwenn E.
    Nares, Michael A.
    Smith, Lesley J.
    Feinroth, Carrie A.
    PROGRESS IN PEDIATRIC CARDIOLOGY, 2012, 33 (01) : 47 - 52
  • [32] Implementation of daily chlorhexidine bathing in intensive care units for reduction of central line-associated bloodstream infections
    Scheier, T.
    Saleschus, D.
    Dunic, M.
    Frohlich, M. R.
    Schupbach, R.
    Falk, C.
    Sax, H.
    Kuster, S. P.
    Schreiber, P. W.
    JOURNAL OF HOSPITAL INFECTION, 2021, 110 : 26 - 32
  • [33] Assessing the effect of implementing a central line care bundle on central line-associated bloodstream infections in a tertiary hospital in Saudi Arabia
    Alhumaidan, Ohoud
    Alkudmani, Zeina
    Alnafee, Khaled
    Alshuhri, Sabah
    Alrashid, Bandar
    Alkahtany, Jalwa
    Almazrua, Afnan
    Alghamdi, Salem
    ITALIAN JOURNAL OF MEDICINE, 2024, 18 (04)
  • [34] Central line-associated blood stream infections: characteristics and risk factors for mortality over a 5.5-year period
    Atilla, Aynur
    Doganay, Zahide
    Kefeli Celik, Hale
    Demirag, Mehmet Derya
    Kilic, S. Sirri
    TURKISH JOURNAL OF MEDICAL SCIENCES, 2017, 47 (02) : 646 - 652
  • [35] A hospital-wide reduction in central line-associated bloodstream infections through systematic quality improvement initiative and multidisciplinary teamwork
    Han, Jingjing
    Wan, Jun
    Cheng, Yujia
    Li, Dan
    Deng, Min
    Wang, Xuefen
    Feng, Jiarui
    He, Yuhong
    Ye, Qing
    Wang, Li
    Lei, Yourong
    Wang, Jianmiao
    AMERICAN JOURNAL OF INFECTION CONTROL, 2019, 47 (11) : 1358 - 1364
  • [36] Chlorhexidine Bathing in a Tertiary Care Neonatal Intensive Care Unit: Impact on Central Line-Associated Bloodstream Infections
    Quach, Caroline
    Milstone, Aaron M.
    Perpete, Chantal
    Bonenfant, Mario
    Moore, Dorothy L.
    Perreault, Therese
    INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2014, 35 (02): : 158 - 163
  • [37] Epidemiology and impact of a multifaceted approach in controlling central venous catheter associated blood stream infections outside the intensive care unit
    Francisco Garcia-Rodriguez, Jose
    Alvarez-Diaz, Hortensia
    Vilarino-Maneiro, Laura
    Virginia Lorenzo-Garcia, Maria
    Canton-Blanco, Ana
    Ordonez-Barrosa, Patricia
    Isabel Marino-Callejo, Ana
    Sesma-Sanchez, Pascual
    BMC INFECTIOUS DISEASES, 2013, 13
  • [38] Compliance with Surgical Care Improvement Project Measures and Hospital-Associated Infections Following Hip Arthroplasty
    Wang, Zhong
    Chen, Foster
    Ward, Michael
    Bhattacharyya, Timothy
    JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (15): : 1359 - 1366
  • [39] 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
    Wei, Abraham E.
    Markert, Ronald J.
    Connelly, Christopher
    Polenakovik, Hari
    JOURNAL OF INFECTION PREVENTION, 2021, 22 (05) : 186 - 193
  • [40] Central venous catheter associated blood stream infections (CVC-BSIs) in the non-intensive care settings: Epidemiology, microbiology and outcomes
    Aminzadeh, Z.
    Simpson, P.
    Athan, E.
    INFECTION DISEASE & HEALTH, 2019, 24 (04) : 222 - 228