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Three U.S. Hospitals Reduce Costly Catheter-Related Bloodstream Infections
Date:9/27/2010

ically increase a patient's hospital stay by anywhere from 10 to 24 days. (1)

The U.S. Centers for Medicare and Medicaid Services have identified CRBSI as a "never event," implementing more stringent reimbursement requirements for care related to such cases. A single incident of CRBSI can cost as much as $56,000 to treat, based on the costs associated with pharmacy charges, catheter changes, lab tests and an additional day in the ICU. (2)

Clinical findings

Patricia Gould, RN, Infection Preventionists at St. Joseph's Mercy Health Center reported dropping from 4.08 CLABSIs per 1000 catheter days to zero and maintaining the rate of zero for a total of 20 months with the implementation of an evidence based "bundle," including the use of the MaxPlus Clear connector.

Similarly, Tim Royer, retired nurse manager of vascular access, discussed interventions that led to the elimination of CRBSIs in the Intensive, Medical-Surgical, Spinal Cord Injury and Transitional Care Units for 17 months at the VA Medical Center Seattle.

"Blood and debris are a growth media for bacteria," said Royer. "An impressive continued drop to zero CRBSI rate was noted through the implementation of a clear, swabable, positive displacement needleless connector as a cue to clean, flush and change the valve. If the valve is opaque, it does not trigger or reinforce the process to keep blood and debris out of the catheter."

In addition, Jennifer McCord, BSN, RN, PCCN, CCRN, CCNS of Bethesda North Hospital reported 12 less CRBSIs in 2009 vs. 2008 and rates dropped from 1.955 to 0.369 per 1000 catheter days representing an 81 percent reduction in CRBSIs. The hospital implemented a nurse-driven peripherally inserted central catheter (PICC) team, along with the CareFusion MaxPlus Clear connector. These protocols are estimated to save the hospital up to $600,000 per year.

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