Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case for quality improvement

Nowak, Jeffrey; Brilli, Richard J.; Lake, Michael; Sparling, Karen W.; Butcher, John; Schulte, Marion; Wheeler, Derek S.

doi:10.1097/pcc.0b013e3181d90569

Cited by 69 publications

(55 citation statements)

References 26 publications

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“…Reducing CLABSI in children who would otherwise have short LOS not only saves more money, but also creates more turnover for revenuegenerating inpatient "first days" (assuming hospitals staff beds based on full census). 7 Along with prevention, we note potential saving in cost from the care management of CLABSI. There was a decrease in estimated cost of 11.8% ($111 852 in 2008 to $98 621 in 2011) of treating CLABSI but a negligible decrease in the cost of treating patients who do not acquire CLABSI over the same time.…”

Section: Discussionmentioning

confidence: 99%

“…6 A pediatric study found an attributable 2008 dollar cost of $33 039 per CLABSI in a sample of 22 critically ill children. 7 Quality improvement collaboratives, largely based in ICUs, have demonstrated that most CLABSIs are preventable. Michigan' s Keystone ICU project achieved and sustained a 60% reduction in CLABSI rates in adult ICUs, resulting in 1500 lives saved and $200 million in health cost savings over 18 months.…”

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confidence: 99%

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Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections

Goudie¹,

et al. 2014

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections

Goudie¹,

et al. 2014

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“…CLABSI is one of the deadliest types of HAIs, with a mortality rate of 12%-25%. [11][12][13] Several factors, such as those related to the patients (immunodeficiency, need for extracorporeal life support or renal replacement therapy), CVC use (prolonged catheterization, type of CVC material, and anatomical site of insertion and handling), have been shown to increase the risk of CVC infection. 13 Here, we report an epidemiologic study about the CLABSIs in our PICU.…”

Section: Introductionmentioning

confidence: 99%

Central Line-Associated Bloodstream Infections in Pediatric Intensive Care Unit

Kendirli¹,

Yaman²,

Ödek³

et al. 2017

cayd

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Introduction:The aim of this study was to determine the frequency of central line-associated bloodstream infections, risk factors, their relationship with catheter insertion location, and the effect of central line-associated bloodstream infections on mortality and pediatric intensive care unit (PICU) length of stay. Methods: This was a prospective, observational and cohort study, carried out between November 2009 and February 2011. During this period, all the patients who had central-line were monitored for central line-associated bloodstream infection. Results: In the study period, 275 patients were admitted to our PICU. The frequency of invasive device usage was 38.9% (107) for central venous catheter, 38.2% (105) for mechanical ventilation, 53.3% (147) for urinary catheter, and 11.3% (32) for artery line. Central lineassociated bloodstream infection was detected in 16 (14.8%) of the patients and 23 central line-associated bloodstream infection attacks were observed. There were 14 central line-associated bloodstream infection attacks in 1.000 central venous catheter usage days. There were 168 patients without central venous catheter and 4 (2.4%) of them had blood stream infection. Thirty-six patients died and the mortality rate was 13%. Five of these patients (13.8%) died due to central line-associated bloodstream infection, 27 (25%) of them had central venous catheter and 9 (6%) of them did not (p=0.001). Conclusion:In conclusion, central line-associated bloodstream infection is one of the serious healthcare-associated infections, and it is an important cause of morbidity and mortality in PICUs. Keywords: Nosocomial infection, central line-associated bloodstream infection, pediatric intensive careGiriş: Bu çalışmanın amacı, kateter ilişkili kan dolaşımı enfeksiyonlarının sıklığını, risk faktörlerini, kateter yerleştirme yerleri ile olan ilişkisini, ayrıca bu enfeksiyonların mortalite ve çocuk yoğun bakım ünitesi (ÇYBÜ) kalış süresine olan etkisini belirlemektir. AbstractÖz

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“…Catheter-related bloodstream infections (BSIs) are a common and serious complication of intravascular catheters and are associated with increased morbidity, mortality, length of hospital stay, and medical costs. [1][2][3][4][5] Although previous studies [6][7][8] indicated a low risk for infections associated with use of arterial catheters, recent studies [9][10][11] showed that the risk for arterial catheter-related infection was high, comparable to the risk associated with short-term use of central venous catheters. Compared with adult patients, children are more susceptible to nosocomial infection, and catheter-related BSI is considered the most common nosocomial infection in pediatric intensive care units (PICUs).…”

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confidence: 88%

Closed Blood Conservation Device for Reducing Catheter-Related Infections in Children After Cardiac Surgery

Tang

Feng

Chen

et al. 2014

Critical Care Nurse

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BACKGROUND Arterial catheters are potential sources of nosocomial infection. OBJECTIVE To investigate use of a closed blood conservation device in preventing catheter-related bloodstream infections in children after cardiac surgery. METHODS Children with an indwelling arterial catheter after cardiac surgery were randomly assigned to 2 groups: a control group with a conventional 3-way stopcock in the catheter system and an interventional group with the conservation device in the catheter system. Catheter tips, catheter intraluminal fluid, and blood samples obtained from the catheter and peripherally were cultured for microbiological analysis. RESULTS Intraluminal fluid contamination was significantly lower (P = .03) in the interventional group (3 of 147 catheters) than in the control group (10 of 137 catheters). The 2 groups did not differ significantly in the rate of tip colonization (9 of 147 vs 12 of 137; P = .40) or in the number of catheter-related bloodstream infections (0 of 147 vs 2 of 137; P = .21). CONCLUSION Use of a closed blood conservation device could decrease the incidence of catheter-related contamination of intraluminal fluid. (Critical Care Nurse. 2014;34[5]:53-61)

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Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case for quality improvement

Cited by 69 publications

References 26 publications

Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections

Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections

Central Line-Associated Bloodstream Infections in Pediatric Intensive Care Unit

Closed Blood Conservation Device for Reducing Catheter-Related Infections in Children After Cardiac Surgery

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