Loyola University Medical Center, Maywood, IL: Significant improvement in CLABSI rates following routine use of disinfection caps on all connector hubs and access ports
With 140 ICU beds, the infection prevention team at Loyola knew it was necessary to identify the best ways to decrease colonization beyond scrubbing the hub. They did a three-arm study comparing disinfection caps to an intense scrub-the-hub intervention to standard care. At the end of the study, both the scrub-the-hub and the disinfection caps interventions reduced CLABSI significantly.
During the last three months of the study, the team discovered that 80 percent of the infections that occurred in the scrub-the-hub arm were related to a significant drop-off in adherence to scrubbing the hub for the required 15 seconds.
"It became clear that relying solely on the scrub-the-hub method may not be sustainable for many staff," said Marcelina M. Wawrzyniak, MSN, RN, study author and infection preventionist at Loyola University Medical Center. "The alcohol-impregnated caps, by comparison, were very well received due to their ease of use. Our study shows that long-term, they have a sustained, positive impact on CLABSI reduction."
During a follow-up two-year study being presented at the APIC conference, the Loyola researchers found a 68 percent decrease in the overall number of CLABSIs. A total of 59 CLABSIs occurred during the 12-month standard care period, compared to 23 CLABSIs during the 12-month intervention period during which alcohol-impregnated disinfection caps were used on all central line access ports.
Using a recent analysis published in JAMA Internal Medicine which estimates the cost of CLABSI at $45,814 per infection, preventing these additional 36 CLABSIs reduced CLABSI-related c
|Contact: Liz Garman|
Association for Professionals in Infection Control