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
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