National pediatric CLABSI prevention efforts save 365 lives

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Intravenous news: Infection Control Today report “The University of Michigan C.S. Mott Childrens Hospital is among 80 hospitals taking part in a national effort to eradicate catheter-associated bloodstream infections among hospitalized pediatric patients.

The effort by member hospitals of the National Association of Childrens Hospitals and Related Institutions (NACHRI), has so far led to 365 saved lives, the prevention of 3,000 central line infections and more than $100 million saved.

“Mott was already working on this issue,” says Matthew Niedner, MD, assistant professor of pediatrics and communicable diseases at U-M and a member of the association’s Quality Transformation Network, a group of childrens hospitals that combine forces to work on care and outcomes for high-impact clinical issues. “But joining the collaborative has enabled us and all participants to share data and best practices. Participation has given us the statistical power to know very quickly when we were or weren’t on the right track. Such collaboratives are the extra edge you need in making sure your patients are as safe as possible from preventable hospital-acquired infection.”

These efforts have an immediate benefit to patients, bypassing the years-long translational research pipeline.

“We had to overcome the psychological acceptance that these complications were just an unavoidable part of doing business,” he adds.

Central line-associated blood stream infections are infections that occur in patients central venous catheters (a central line is flexible medical tubing inserted into the body). Published costs for pediatric central line bloodstream infections are in the range of $25,000 to $45,000 per infection, so the Quality Transformation Network estimates cost savings by multiplying the number of infections prevented by $35,000. They also hold a mortality rate of 10 percent to 20 percent for children.

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