Sustained reduction of central line–associated bloodstream infections in an intensive care unit using a top-down and bottom-up approach

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Intravenous literature: Sopirala, M.M., Smyer, J., Fawley, L., Mangino, J.E., Lustberg, M.M., Lu, J., Chucta, S. and Crouser, E.D. (2013) Sustained reduction of central line–associated bloodstream infections in an intensive care unit using a top-down and bottom-up approach. AJIC: American Journal of Infection Control. 41(2), p.183-184.

Excerpt:

“The central line bundle is a group of evidence-based interventions that have been shown to reduce the risk of central lineeassociated bloodstream infection (CLABSI).1,2 However, a number of common obstacles, ranging from lack of administrative oversight to poor compliance with simple bundle components by care providers, prevent consistent application of these evidence-based practices.3 We sought to use a strategic process that leveraged the combined advantages of a bottom-up approach in which a multidisciplinary infection prevention team was formed to identify deficiencies in equipment, health care worker practice, and hospital processes relating to avoidance of CLABSI, along with a top-down approach that secured a buy-in from hospital administration to make CLABSI reduction a priority for the intensive care unit (ICU).”

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