What do central venous catheter‐associated bloodstream infections have to do with bundles?

Abstract

Interest in the patient safety agenda continues to grow in North America. In the United States (US), the Institute for Healthcare Improvement (IHI) has begun a campaign to make health care safer and more effective by encouraging hospitals to implement interventions they believe can avoid 100,000 deaths between January 2005 and July 2006 (1). The IHI, a not-for-profit organization founded in 1991, promotes the improvement of health by advancing the quality and value of health care (2). Three of the six areas for action chosen by the IHI for their '100,000 Lives Campaign' relate to prevention of nosocomial infections: central line infections, surgical site infections and ventilator-associated pneumonia. In Canada, a grassroots patient safety campaign modelled after the IHI's '100,000 Lives Campaign' has formed (3). This 'Safer Healthcare Now!' campaign focuses on the same six strategies chosen for the '100,000 Lives Campaign'. Across the country, hospitals are being invited to join the 'Safer Healthcare Now!' campaign.

Central line-associated bloodstream infection: is the hospital epidemiology of methicillin-resistant Staphylococcus aureus relevant?

“…Regarding the efficacy of this closed system, we have reported that its risk for BSI was comparable to that of an open three-way stopcock [1]. Recently, a CL bundle has been advocated to reduce CLA-BSI [6], where measures at the CL insertion are stressed, such as maximal barrier precautions. Our present result supports the addition of long-term care when a CL bundle is used.…”

Microbial Profile, Antimicrobial Susceptibility, and Prevalence of MDR/XDR Pathogens Causing Medical Device Associated Infections: A Single Center Study

“…The study performed in England between 1997 and 2001 determined that central lines were the most prevalent source of CLABSI, accounting for 43.3–52.4% of total nosocomial bloodstream infections. 13 These numbers are evidently higher in developing countries, where there may not be enough monitoring to estimate the actual rates of infection. These percentages may vary, ranging from 4.4 to 88.8%, in accordance with particular studies.…”

Central Venous Catheter‐Associated Bloodstream Infections in Hemodialysis Patients: Another Patient Safety Bundle?

“…campaign's focus on reducing central venous catheter (CVC)-associated bloodstream infections (BSIs) as a way of improving patient safety (1). This initiative is focused on preventing CVC-associated BSIs in intensive care units.…”