Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line-associated bloodstream infections

Am J Infect Control. 2014 Jun;42(6):685-7. doi: 10.1016/j.ajic.2014.02.026.

Abstract

A multimodal hospital-wide central line-associated bloodstream infection (CLABSI) risk reduction strategy was implemented over a 20-month period at an Australian center. Reduced CLABSI rates were observed in both intensive care units (ICUs) (incidence rate ratio [IRR], 0.39; P < .001) and non-ICU wards (IRR, 0.54; P < .001). The median time to CLABSI onset was 7.5 days for ICU events and 13 days for non-ICU events. The timing of infection demonstrates the need for more careful attention to postinsertion care and access of central venous catheters.

Keywords: Central venous catheter; Infection prevention; Surveillance.

MeSH terms

  • Australia
  • Catheter-Related Infections / prevention & control*
  • Catheterization, Central Venous / adverse effects*
  • Central Venous Catheters / adverse effects*
  • Cross Infection / prevention & control*
  • Humans
  • Infection Control / methods*
  • Infection Control / statistics & numerical data
  • Intensive Care Units / statistics & numerical data
  • Patient Care Bundles
  • Sepsis / prevention & control*
  • Tertiary Care Centers / statistics & numerical data
  • Time Factors