Minimising central line-associated bloodstream infection rate in inserting central venous catheters in the adult intensive care units

2017 ◽  
Vol 26 (23-24) ◽  
pp. 3962-3973 ◽  
Author(s):  
Hedaya Rateb Hina ◽  
Joan R. S. McDowell
Keyword(s):  
Intensive Care ◽  
Bloodstream Infection ◽  
Intensive Care Units ◽  
Infection Rate ◽  
Central Line ◽  
Central Venous Catheters ◽  
Central Venous

Implementing a Multifaceted Intervention to Decrease Central Line–Associated Bloodstream Infections in SEHA (Abu Dhabi Health Services Company) Intensive Care Units: The Abu Dhabi Experience

2015 ◽  
Vol 36 (7) ◽  
pp. 816-822 ◽  
Author(s):  
Asad Latif ◽  
Bernadette Kelly ◽  
Hanan Edrees ◽  
Paula S. Kent ◽  
Sallie J. Weaver ◽  
...  
Keyword(s):  
Intensive Care ◽  
Health Services ◽  
Bloodstream Infection ◽  
Intensive Care Units ◽  
Infection Rate ◽  
Bloodstream Infections ◽  
Central Line ◽  
Multifaceted Intervention ◽  
Abu Dhabi ◽  
Senior Leaders

OBJECTIVETo determine whether implementation of a multifaceted intervention would significantly reduce the incidence of central line–associated bloodstream infections.DESIGNProspective cohort collaborative.SETTING AND PARTICIPANTSIntensive care units of the Abu Dhabi Health Services Company hospitals in the Emirate of Abu Dhabi.INTERVENTIONSA bundled intervention consisting of 3 components was implemented as part of the program. It consisted of a multifaceted approach that targeted clinician use of evidence-based infection prevention recommendations, tools that supported the identification of local barriers to these practices, and implementation ideas to help ensure patients received the practices. Comprehensive unit-based safety teams were created to improve safety culture and teamwork. Finally, the measurement and feedback of monthly infection rate data to safety teams, senior leaders, and staff in participating intensive care units was encouraged. The main outcome measure was the quarterly rate of central line–associated bloodstream infections.RESULTSEighteen intensive care units from 7 hospitals in Abu Dhabi implemented the program and achieved an overall 38% reduction in their central line–associated bloodstream infection rate, adjusted at the hospital and unit level. The number of units with a quarterly central line–associated bloodstream infection rate of less than 1 infection per 1,000 catheter-days increased by almost 40% between the baseline and postintervention periods.CONCLUSIONA significant reduction in the global morbidity and mortality associated with central line–associated bloodstream infections is possible across intensive care units in disparate settings using a multifaceted intervention.Infect. Control Hosp. Epidemiol. 2015;36(7):816–822

scholarly journals Study of incidence of central line associated blood stream infections in patients admitted in intensive care unit

2021 ◽  
Author(s):  
Prachi Dubey ◽  
Sanjay Varma ◽  
Anupam Kujur ◽  
Bhuwan Sharma
Keyword(s):  
Intensive Care ◽  
Physical Examination ◽  
Bloodstream Infection ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Central Line ◽  
Central Venous Catheters ◽  
Easy Access ◽  
Central Venous ◽  
Common Procedure

Background: Central venous catheterization is a relatively common procedure in many branches of medicine particularly in anaesthesia and intensive care medicine. Central venous catheters give an easy access for giving drugs as well as for sampling of blood, but they can also be a cause of blood stream infection and sepsis.Methods: Patients who requiring central venous catheter were selected, relevant blood investigations were done before insertion of catheter and after 48 hours after insertion. With the suspicion of new infection, physical examination and laboratory work-ups were carried out to identify the other source of infection.Results: Total 96 patients were selected with mean age of 40.0±13.89 years. The incidence of central line-associated bloodstream infection/catheter-related bloodstream infection (CLABSI/CRBSI) in our hospital based study in intensive care units comes out 34.37%. The CLABSI/CRBSI patients (n=33) on general physical examination 5 patients have bradycardia, hypertension hypothermia oliguria altered mental status hypotension tachypnea tachycardia and 26 patients have developed fever during the course of illness. The predominant organism isolated in CLABSI/CRBSI patients is Staphylococcus aureus. Central venous catheters are useful in getting access and also source of blood stream investigation. Site of catheter, duration of catheter and co morbidities acts as risk factor for infection.Conclusions: By knowing the risk factors to cause catheter related infections, risk of getting infection can be lowered by using aseptic technique during insertion and proper catheter care and this can further reduces morbidity and mortality related to central venous catheters.

scholarly journals Estratégia Multidimensional na Redução de Infeção Associada a Cateter Venoso Central em Pediatria

2016 ◽  
Vol 29 (6) ◽  
pp. 373
Author(s):  
Jorge Rodrigues ◽  
Andrea Dias ◽  
Guiomar Oliveira ◽  
José Farela Neves
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Venous Catheter ◽  
Central Line ◽  
Central Venous ◽  
Group 2

<p><strong>Introduction:</strong> To determine the central-line associated bloodstream infection rate after implementation of central venous catheter-care practice bundles and guidelines and to compare it with the previous central-line associated bloodstream infection rate.<br /><strong>Material and Methods:</strong> A prospective, longitudinal, observational descriptive study with an exploratory component was performed in a Pediatric Intensive Care Unit during five months. The universe was composed of every child admitted to Pediatric Intensive Care Unit who inserted a central venous catheter. A comparative study with historical controls was performed to evaluate the result of the intervention (group 1 <em>versus</em> group 2).<br /><strong>Results:</strong> Seventy five children were included, with a median age of 23 months: 22 (29.3%) newborns; 28 (37.3%) with recent surgery and 32 (43.8%) with underlying illness. A total of 105 central venous catheter were inserted, the majority a single central venous catheter (69.3%), with a mean duration of 6.8 ± 6.7 days. The most common type of central venous catheter was the short-term, non-tunneled central venous catheter (45.7%), while the subclavian and brachial flexure veins were the most frequent insertion sites (both 25.7%). There were no cases of central-line associated bloodstream infection reported during this study. Comparing with historical controls (group 1), both groups were similar regarding age, gender, department of origin and place of central venous catheter insertion. In the current study (group 2), the median length of stay was higher, while the mean duration of central venous catheter (excluding peripherally inserted central line) was similar in both groups. There were no statistical differences regarding central venous catheter caliber and number of lumens. Fewer children admitted to Pediatric Intensive Care Unit had central venous catheter inserted in group 2, with no significant difference between single or multiple central venous catheter.<br /><strong>Discussion:</strong> After multidimensional strategy implementation there was no reported central-line associated bloodstream infection<br /><strong>Conclusions:</strong> Efforts must be made to preserve the same degree of multidimensional prevention, in order to confirm the effective reduction of the central-line associated bloodstream infection rate and to allow its maintenance.</p>

scholarly journals Impact of State Reporting Laws on Central Line-Associated Bloodstream Infection Rates in U.S. Adult Intensive Care Units

2016 ◽  
Vol 52 (3) ◽  
pp. 1079-1098 ◽  
Author(s):  
Hangsheng Liu ◽  
Carolyn T. A. Herzig ◽  
Andrew W. Dick ◽  
E. Yoko Furuya ◽  
Elaine Larson ◽  
...  
Keyword(s):  
Intensive Care ◽  
Bloodstream Infection ◽  
Intensive Care Units ◽  
Central Line ◽  
Infection Rates ◽  
Reporting Laws

scholarly journals Surveillance Length and Validity of Benchmarks for Central Line-Associated Bloodstream Infection Incidence Rates in Intensive Care Units

PLoS ONE ◽  
2012 ◽  
Vol 7 (5) ◽  
pp. e36582 ◽  
Author(s):  
Patricia S. Fontela ◽  
Caroline Quach ◽  
David Buckeridge ◽  
Madukhar Pai ◽  
Robert W. Platt
Keyword(s):  
Intensive Care ◽  
Bloodstream Infection ◽  
Intensive Care Units ◽  
Central Line ◽  
Incidence Rates ◽  
Infection Incidence
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