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
Authors: Klintworth G, Stafford J, O'Connor M, Leong T, Hamley L, Watson K, Kennon J, Bass P, Cheng AC, Worth LJ
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.
PMID: 24837122 [PubMed - in process]