“This multidisciplinary infection control intervention, including a central line insertion care bundle, can effectively reduce the rate of CLABSI.” Tang et al (2014).
Tang, H.J., Lin, H.L., Lin, Y.H., Leung, P.O., Chuang, Y.C. and Lai, C.C. (2014) The impact of central line insertion bundle on central line-associated bloodstream infection. BMC Infectious Diseases. 14(1), p.356.
Central line insertion care bundle reduces CLABSI rate http://ctt.ec/tFZGg+ @ivteam #ivteam
BACKGROUND: Knowledge about the impact of each central line insertion bundle on central line-associated bloodstream infection (CLABSI) is limited.
METHODS: A quality-improvement intervention, including education, central venous catheter (CVC) insertion bundle, process and outcome surveillance, have been introduced since March 2013. Outcome surveillances, including CLABSI per 1,000 catheter-days, CLABSI per 1,000 inpatient-days, and catheter utilization rates (days of catheter use divided by total inpatient-days), were measured. As a baseline measurement for a comparison, we retrospectively collected data from March 1, 2012 to December 31, 2012.
RESULTS: During this 10-month period, there were a total of 687 CVC insertions, and 627 (91.2%) insertions were performed by intensivists. The rate of CLABSI significantly declined from 1.65 per 1000 catheter-day during the pre-intervention period to 0.65 per 1000 catheter-day post-intervention period (P = 0.039). CLABSI more likely developed in subjects in which a maximal sterile barrier was not used compared with subjects in which it was used (P = 0.03). Moreover, CVC inserted by non-intensivists were more likely to become infected than CVC inserted by intensivists (P = 0.010).
CONCLUSIONS: This multidisciplinary infection control intervention, including a central line insertion care bundle, can effectively reduce the rate of CLABSI. The impact of different care bundle varies, and a maximal sterile barrier precaution during catheter insertion is an essential component of the care line insertion bundle.
Other intravenous and vascular access resources that may be of interest (External links – IVTEAM has no responsibility for content).
- Guide for intravenous chemotherapy and associated vascular access devices from Macmillan.
- CancerUK IV chemotherapy information.