Anaheim, Calif., June 5, 2014 Whether through the use of alcohol-containing caps or basic cleaning of the injection port of the central line, infection preventionists at three hospitals are finding successful ways to stop germs from entering central line catheters and causing bloodstream infections in patients.
A trio of abstracts, to be presented on June 7 at the 41st Annual Conference of the Association for Professionals in Infection Control and Epidemiology (APIC), addresses the challenge of keeping bacteria from entering the bloodstream through a central line, a catheter placed in a large vein to deliver medicine and fluids during hospitalization.
Patients in intensive care units (ICUs) may need to have their lines accessed 20 or more times per day, increasing the risk for infection and contamination. Many facilities follow a bundle of best practices to reduce risk factors during the insertion of a central line, but continuous and safe maintenance of the line is difficult.
"Sharing successful process improvement strategies for catheter maintenance is essential to continuing efforts to prevent these serious bloodstream infections," said APIC 2014 President Jennie Mayfield, BSN, MPH, CIC. "For patients with long lengths of stay, maintenance-related issues become very important. As these examples demonstrate, each health system needs to review its own data and work as a team with front-line caregivers to tailor interventions that will be successful at their institution."
Texas Health Presbyterian Hospital of Dallas: Disinfecting caps cut CLABSI rates by 68 percent; simple device can supplement other measures to prevent bloodstream infections
When infection preventionists at Texas Health Dallas, an 800-bed facility, noticed an increase in hospital-wide central line-associated bloodstream infections (CLABSI) in 2011, they assembled a task force to assess infection data and recommend improvement strategies.
|Contact: Liz Garman|
Association for Professionals in Infection Control