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CLABSI prevention efforts result in up to 200,000 infections prevented in intensive care units
Date:5/13/2013

and CLABSIs specifically. CDC guidelines have promoted better central line insertion and maintenance practices. Infection control bundles, which are groups of prevention practices that are put into place at the same time and use collaborative networks of healthcare organizations to educate providers about best practices, have been used to improve adherence to recommended practices.

Cultural change and the transformation in behaviors of healthcare workers significantly affect the reduction in healthcare-associated infections, as seen in the 2006 Michigan Keystone Project. The project implemented five evidence-based preventive strategies recommended by the CDC and focused on changing provider behavior through addressing safety culture, incorporating a centralized education program for team leaders at each institution, and closely collaborating with infection control personnel. The intervention was extremely successful, nearly eliminating CLASBIs in more than 100 ICUs.

Despite apparent success, this study estimated that about 15,000 CLABSIs still occurred in ICUs during 2010. Seventy percent of these infections occurred in teaching hospitals with more than 200 beds. The concentration of CLABSIs among ICU patients in medium and large teaching hospitals suggests that a targeted approach may be needed to continue reducing CLABSIs among ICU patients nationally.

In a commentary published alongside the study, several limitations of this research were also noted, including the use of definitions by CDC for purposes for which they were not originally designed, the idea that every CLABSI is preventable, and the possibility that zero infections may not be an achievable goal in all circumstances.

However, Eli Perencevich, MD, and colleagues stated that "this is encouraging news.... Anyone who has spent the past 10-20 years as an infection preventionists or hospital epidemiologist can attest to how evidence-based methods and cultural change
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Contact: Tamara Moore
tmoore@gymr.com
202-745-5114
Society for Healthcare Epidemiology of America
Source:Eurekalert

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