Extended central line bundle and reduced CLABSI – CE activity

"Our study shows that central line bundles decreases not only the CLABSI rate but also decreases attributable costs due to CLABSI" Devrim et al (2020).

Abstract:

BACKGROUND: Central line bundle programs were found to be effective in decreasing central line-associated bloodstream infection rates in pediatric cancer patients with ports. However, cost-effectiveness studies of central line bundle programs in pediatric cancer patients are limited, and most available data are from intensive care unit or adult studies.

METHODS: In this cross-sectional study spanning 6 years, comprehensive assessment of total health care costs attributable to CLABSI’s associated with ports between two periods.

RESULTS: This cross-sectional study was carried out in the pediatric hematology-oncology ward of Dr. Behçet Uz Children’s Hospital from 1 August November 2011 to 31 July 2017. The CLABSI rates decreased significantly from 8.31 CLABSIs to 3.04 per 1000 central line days (p < 0.001). In the pre-bundle period, total attributable costs spent for of patients with CLABSI were $130,661, and in the bundle period, total attributable costs spent for patients with CLABSI were $116,579. Within bundle implantation, 71 potential CLABSI were prevented, which saved an additional $208,977.

CONCLUSION: Our study shows that central line bundles decreases not only the CLABSI rate but also decreases attributable costs due to CLABSI. Expenses spent for bundle elements, were covered by savings by preventing CLABSI with higher costs.

Reference:

Devrim, İ., Özkul, M.T., Çağlar, İ., Oruç, Y., Demiray, N., Tahta, N. and Vergin, C. (2020) Central line bundle including split-septum device and single-use prefilled flushing syringes to prevent port-associated bloodstream infections: a cost and resource-utilization analysis. BMC Health Services Research. 20(1), p.336. doi: 10.1186/s12913-020-05221-6.

Continuous Education Activity

Welcome to the IVTEAM continuing education multiple-choice quiz on Extended central line bundle and CLABSI reduction - CE activity. Once completed, you will be emailed the results of the quiz. We recommend you retain the email as proof of your continuing professional development. This is another free service provided by IVTEAM.

1. The attributable cost per CLABSI in this six tear study was?
2. The research illustrated of relative CLABSI risk reduction of?
3. The total money saved due to the bundle implementation was?
4. The authors suggest bundle implementation prevented this number of potential CLABSI in the study period?
5. In the study the pre intervention CLABSI per thousand catheter days rate was?
6. In the study the post intervention CLABSI per thousand catheter days rate was?

Thank you for completing the Extended central line bundle and CLABSI reduction - CE activity multiple-choice quiz on the August 15, 2020.



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