Smaller hospitals have less CLABSI

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Intravenous news: Infection Control Today report “Intensive care units (ICUs) in both large and small hospitals stopped central line-associated bloodstream infections for up to two years after using a targeted quality improvement initiative funded in part by the Agency for Healthcare Research and Quality. The initiative, known as the Comprehensive Unit-based Safety Program, or CUSP, was implemented through the Keystone Intensive Care Unit Project in Michigan hospitals.

The study, “The Ability of Intensive Care Units to Maintain Zero Central Line-Associated Bloodstream Infections” published in todays issue of the Archives of Internal Medicine found that hospital ICUs eliminated central line-associated bloodstream infections (CLABSIs) for an extended period of time up to 2 years or more. The researchers found that 60 percent of the 80 ICUs evaluated went 1 year or more without an infection, and 26 percent achieved 2 years or more. Smaller hospitals sustained zero infections longer than larger hospitals, the researchers found.

“Previous research has shown that using CUSP to reduce healthcare-associated infections works,” says AHRQ director Carolyn M. Clancy, MD. “This study gives us even better news that results from efforts to eliminate these deadly and costly infections can be sustained.”

A CLABSI is a serious healthcare-associated infection (HAI) that is introduced into the bloodstream through a central line. According to the Centers for Disease Control and Prevention (CDC), at any one point in time one in every 20 hospital patients in the United States has an HAI.”

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