Critical Care Leads the Way in the Prevention of Central Line Associated Bloodstream Infections

2011 ◽  
Vol 39 (5) ◽  
pp. E196
Author(s):  
Vicky M. Ferris ◽  
Kathleen M. McMullen ◽  
Anthony J. Russo ◽  
Helen A. Wood ◽  
Michael A. Lane
Keyword(s):  
Critical Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
The Way

scholarly journals Impact of Critical Care Consultation Requests for Avoidable Central Venous Catheters on Medical-Surgical Units

2020 ◽  
Vol 41 (S1) ◽  
pp. s258-s258
Author(s):  
Madhuri Tirumandas ◽  
Theresa Madaline ◽  
Gregory David Weston ◽  
Ruchika Jain ◽  
Jamie Figueredo
Keyword(s):  
Critical Care ◽  
High Risk ◽  
Medical Center ◽  
Academic Medical Center ◽  
Retrospective Chart Review ◽  
Bloodstream Infections ◽  
Central Line ◽  
Central Venous Catheters ◽  
High Risk Population ◽  
Central Venous

Background: Although central-line–associated bloodstream infections (CLABSI) in US hospitals have improved in the last decade, ~30,100 CLABSIs occur annually.1,2 Central venous catheters (CVC) carry a high risk of infections and should be limited to appropriate clinical indications.6,7 Montefiore Medical Center, a large, urban, academic medical center in the Bronx, serves a high-risk population with multiple comobidities.8–11 Despite this, the critical care medicine (CCM) team is often consulted to place a CVC when a peripheral intravenous line (PIV) cannot be obtained by nurses or primary providers. We evaluated the volume of CCM consultation requests for avoidable CVCs and related CLABSIs. Methods: Retrospective chart review was performed for patients with CCM consultation requests for CVC placement between July and October 2019. The indication for CVC, type of catheter inserted or recommended, and NHSN data were used to identify CLABSIs. CVCs were considered avoidable if a PIV was used for the stated indication and duration of therapy, with no anatomical contraindications to PIV in nonemergencies, according to the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC).6Results: Of 229 total CCM consults, 4 (18%) requests were for CVC placement; 21 consultations (9%) were requested for avoidable CVCs. Of 40 CVC requests, 18 (45%) resulted in CVC placement by the CCM team, 4 (10%) were deferred for nonurgent PICC by interventional radiology, and 18 (45%) were deferred in favor of PIV or no IV. Indications for CVC insertion included emergent chemotherapy (n = 8, 44%) and dialysis (n = 3, 16%), vasopressors (n = 3, 16%), antibiotics (n = 2, 11%) and blood transfusion (n = 2, 11%). Of 18 CVCs, 9 (50%) were potentially avoidable: 2 short-term antibiotics and rest for nonemergent indications; 2 blood transfusions, 1 dialysis, 2 chemotherapy and 2 vasopressors. Between July and October 2019, 6 CLABSIs occurred in CVCs placed by the CCM team; in 3 of 6 CLABSI events (50%), the CVC was avoidable. Conclusions: More than half of consultation requests to the CCM team for CVCs are avoidable, and they disproportionately contribute to CLABSI events. Alternatives for intravenous access could potentially avoid 9% of CCM consultations and 50% of CLABSIs in CCM-inserted CVCs on medical-surgical wards.Funding: NoneDisclosures: None

Strategies to Reduce Central Line-associated Bloodstream Infections in a Critical Care Unit

2017 ◽  
Vol 45 (6) ◽  
pp. S112
Author(s):  
Nancy Hickox ◽  
Latrice Clifton ◽  
Chamele Coe ◽  
Frederick Cox ◽  
Mary Gardenhire ◽  
...  
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Bloodstream Infections ◽  
Central Line

Expansion of Bundle to Eliminate Central Line-Associated Bloodstream Infections in Critical Care

2011 ◽  
Vol 39 (5) ◽  
pp. E52-E53
Author(s):  
Eileen O'Rourke ◽  
Judy Arentzen ◽  
Maragaret Iacobacci ◽  
Lawrence Livornese
Keyword(s):  
Critical Care ◽  
Bloodstream Infections ◽  
Central Line

Data Analytics for Diagnosis and Prediction of Central Line–Associated Bloodstream Infections in Critical Care Units

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mary A. Hooshmand ◽  
Christine Susana Toledo ◽  
Ramin Moghaddas ◽  
Erotokritos Skordilis
Keyword(s):  
Critical Care ◽  
Data Analytics ◽  
Bloodstream Infections ◽  
Central Line ◽  
Critical Care Units

scholarly journals National Estimates of Central Line–Associated Bloodstream Infections in Critical Care Patients

2013 ◽  
Vol 34 (6) ◽  
pp. 547-554 ◽  
Author(s):  
Matthew E. Wise ◽  
R. Douglas Scott ◽  
James M. Baggs ◽  
Jonathan R. Edwards ◽  
Katherine D. Ellingson ◽  
...  
Keyword(s):  
United States ◽  
Critical Care ◽  
Bloodstream Infections ◽  
The United States ◽  
Central Line ◽  
Teaching Hospitals ◽  
Annual Number ◽  
Network Systems ◽  
Substantial Progress ◽  
Critical Care Patients

Objective.Recent studies have demonstrated that central line-associated bloodstream infections (CLABSIs) are preventable through implementation of evidence-based prevention practices. Hospitals have reported CLABSI data to the Centers for Disease Control and Prevention (CDC) since the 1970s, providing an opportunity to characterize the national impact of CLABSIs over time. Our objective was to describe changes in the annual number of CLABSIs in critical care patients in the United States.Design.Monte Carlo simulation.Setting.US acute care hospitals.Patients.Nonneonatal critical care patients.Methods.We obtained administrative data on patient-days for nearly all US hospitals and applied CLABSI rates from the National Nosocomial Infections Surveillance and the National Healthcare Safety Network systems to estimate the annual number of CLABSIs in critical care patients nationally during the period 1990–2010 and the number of CLABSIs prevented since 1990.Results.We estimated that there were between 462,000 and 636,000 CLABSIs in nonneonatal critical care patients in the United States during 1990–2010. CLABSI rate reductions led to between 104,000 and 198,000 fewer CLABSIs than would have occurred if rates had remained unchanged since 1990. There were 15,000 hospital-onset CLABSIs in nonneonatal critical care patients in 2010; 70% occurred in medium and large teaching hospitals.Conclusions.Substantial progress has been made in reducing the occurrence of CLABSIs in US critical care patients over the past 2 decades. The concentration of critical care CLABSIs in medium and large teaching hospitals suggests that a targeted approach may be warranted to continue achieving reductions in critical care CLABSIs nationally.

Sign in / Sign up

Export Citation Format

Share Document