Is it possible to achieve a target of zero central line associated bloodstream infections?

Worth, Leon J; McLaws, Mary‐Louise

doi:10.1097/qco.0b013e32835a0d1a

Cited by 34 publications

(23 citation statements)

References 80 publications

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“…25 More important seems to be the dwell time with a device exposition. 23,26 It results in a median of 11 days for CVC, 9 days for MV and 12 days for urinary catheter (UC).…”

Section: Discussionmentioning

confidence: 99%

Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units

Jordan

Torné

Arriortúa

et al. 2016

Enfermedades Infecciosas y Microbiología Clínica

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“…25 More important seems to be the dwell time with a device exposition. 23,26 It results in a median of 11 days for CVC, 9 days for MV and 12 days for urinary catheter (UC).…”

Section: Discussionmentioning

confidence: 99%

Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units

Jordan

Torné

Arriortúa

et al. 2016

Enfermedades Infecciosas y Microbiología Clínica

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“…There are no current benchmarked targets for clinicians to compare their current rates of CVAD failure and complications, with the exception of CVAD-associated BSI in the ICU. 128,129 Quality improvement studies have previously demonstrated a marked reduction in complication rates associated with CVAD in pediatrics and neonates, indicating that complication rates depend on the care provided by multidisciplinary clinicians. [130][131][132] Previous international focus on the prevention of CVAD complications from organizations such as the World Health Organization and the Centers for Disease Control and Prevention has been solely on CVAD-associated BSI, and generally in the ICU setting.…”

Section: Discussionmentioning

confidence: 99%

Complications of Central Venous Access Devices: A Systematic Review

et al. 2015

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CONTEXT: The failure and complications of central venous access devices (CVADs) result in interrupted medical treatment, morbidity, and mortality for the patient. The resulting insertion of a new CVAD further contributes to risk and consumes extra resources.OBJECTIVE: To systematically review existing evidence of the incidence of CVAD failure and complications across CVAD types within pediatrics.DATA SOURCES: Central Register of Controlled Trials, PubMed, and Cumulative Index to Nursing and Allied Health databases were systematically searched up to January 2015.STUDY SELECTION: Included studies were of cohort design and examined the incidence of CVAD failure and complications across CVAD type in pediatrics within the last 10 years. CVAD failure was defined as CVAD loss of function before the completion of necessary treatment, and complications were defined as CVAD-associated bloodstream infection, CVAD local infection, dislodgement, occlusion, thrombosis, and breakage. CONCLUSIONS: CVAD failure and complications in pediatrics are a significant burden on the health care system internationally.

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“…A study by McLaws et al showed that patients with a central venous line with prolonged hospital stays were associated with a higher infection rates (20). Therefore, we agree with Worth et al that a zero rate of infection should be limited to ICU patients with short-term central venous catheters and this is not always applicable to high-risk groups with long stays in hospital (21).…”

Section: Discussionmentioning

confidence: 36%

Long-term sustainability of zero central-line associated bloodstream infections is possible with high compliance with care bundle elements

Hakko¹,

Guvenc²,

Karaman³

et al. 2015

Easter Mediterr Health J

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Central-line-associated bloodstream infection (CLABSI) is one of the most important problems in intensive care units (ICUs) worldwide. A bundle of CLABSI care measures was introduced at a 13-bed medical/ surgical ICU in Kocaeli, Turkey in January 2010. Compliance rates with the bundle were measured at the beginning of the third quarter of 2010 until June 2013 and compared with CLABSI rates. During the post-intervention period, of 2196 ICU patients, 732 lines placed for 4366 line-days were monitored. Feedback to staff reinforced a culture of patient safety in the ICU. Infection rates remained zero for 38 months after the implementation. There was a strong negative correlation between bundle compliance rate and CLABSI rates. With the implementation of the central-line bundle of care, together with emphasis on high compliance with all its components and a culture of patient safety, it was possible to achieve and maintain a zero rate of CLABSI in this ICU.

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Is it possible to achieve a target of zero central line associated bloodstream infections?

Cited by 34 publications

References 80 publications

Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units

Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units

Complications of Central Venous Access Devices: A Systematic Review

Long-term sustainability of zero central-line associated bloodstream infections is possible with high compliance with care bundle elements

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