“The central line associated bloodstream infection (CLABSI) rate at our medical ICU had increased steadily, with an average rate between January and May 2011 of .47%.” Sung et al (2014).
Sung, Y.W., Huang, M.J., Chou, C.Y., Hung, C.T., Tsai, J.R. and Chen, S.H. (2014) The Effect of Bundle Care on Central Line Associated Bloodstream Infection in a Medical Intensive Care Unit. Hu Li Za Zhi The Journal of Nursing. 61(3), p.87-96. [Article in Chinese].
BACKGROUND & PROBLEMS: While the central line catheter is a common device used in intensive medical care, it is a frequent source of nosocomial infection. The central line associated bloodstream infection (CLABSI) rate at our medical ICU had increased steadily, with an average rate between January and May 2011 of .47%. We used a cross-team approach to implement bundle care as a strategy to reduce the CLABSI rate.
PURPOSE: We designed a project to reduce the CLABSI rate below .3% in our ICU.
RESOLUTION: This project was conducted between June 2011 and May 2012. Our strategy included providing a sterile towel, implementing maximal barrier precautions (head to toe), designing an illustration explaining how to use 2% CHG, establishing a procedures and care checklist, implementing quality assurance for procedures and care, and providing education on bundle care.
RESULTS: The CLABSI rate reduced to .24% after project implementation. This result was below the target of .30%.
CONCLUSIONS: We want to share this experience to help other hospitals and units improve critical care quality and to continue working to achieve a zero-tolerance infection rate.
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.