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Hospital-Wide Reduction in Central Line–Associated Bloodstream Infections: A Tale of Two Small Community Hospitals

Published online by Cambridge University Press:  02 January 2015

Aysegul Gozu ,
Colleen Clay  and
Faheem Younus
Aysegul Gozu
Affiliation:
Department of Internal Medicine, Franklin Square Hospital Center, Baltimore, Maryland Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Colleen Clay
Affiliation:
Upper Chesapeake Health, Bel Air, Maryland
Faheem Younus*
Affiliation:
Upper Chesapeake Health, Bel Air, Maryland
*
9105 Franklin Square Drive, Suite 312, Baltimore, MD 21237 (faheem.younus@gmail.com)
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Extract

Despite increasing awareness of central line-associated bloodstream infections (CLABSIs) in general wards, published strategies come from intensive care units (ICUs) of large tertiary care centers. After implementing a central line insertion checklist, two community hospitals experienced an 86% reduction in CLABSI rates in ICUs and a 57% reduction in non-ICU settings over 36 months.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 6 , June 2011 , pp. 619 - 622
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1.Climo, M, Diekema, D, Warren, DK, et al.Prevalence of the use of central venous access devices within and outside of the intensive care unit: results of a survey among hospitals in the prevention epicenter program of the centers for disease control and prevention. Infect Control Hosp Epidemiol 2003;24:942–945.Google Scholar
2.Trick, WE, Vernon, MO, Welbel, SF, Wisniewski, MF, Jernigan, JA, Weinstein, RA. Unnecessary use of central venous catheters: the need to look outside the intensive care unit. Infect Control Hosp Epidemiol 2004;25:266–268.Google Scholar
3.Edwards, JR, Peterson, KD, Mu, Y, et al.National healthcare safety network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783–805.Google Scholar
4.Pronovost, P, Needham, D, Berenholtz, S, et al.An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725–2732.Google Scholar
5.Marschall, J, Leone, C, Jones, M, Nihill, D, Fraser, VJ, Warren, DK. Catheter-associated bloodstream infections in general medical patients outside the intensive care unit: a surveillance study. Infect Control Hosp Epidemiol 2007;28:905–909.CrossRefGoogle ScholarPubMed
6.Suljagic, V, Cobeljic, M, Jankovic, S, et al.Nosocomial bloodstream infections in ICU and non-ICU patients. Am J Infect Control 2005;33:333–340.CrossRefGoogle ScholarPubMed
7.Mnatzaganian, G, Galai, N, Sprung, CL, et al.Increased risk of bloodstream and urinary infections in intensive care unit (ICU) patients compared with patients fitting ICU admission criteria treated in regular wards. J Hosp Infect 2005;59:331–342.Google Scholar
8.Vonberg, PvP, Behnke, M, Geffers, C, et al.Device-associated infection rates for non-intensive care unit patients. Infect Control Hosp Epidemiol 2006;27:357–361.CrossRefGoogle ScholarPubMed
9.Agency for Healthcare Research and Quality. Distribution of database hospitals and respondents by hospital bed size. Hospital survey on patient safety culture: 2010 user comparative database report, http://www.ahrq.gov/qual/hospsurveyl0/hospl0ch3.htm. Accessed May 24, 2010.Google Scholar
10.Rosenthal, VD, Guzman, S, Pezzotto, SM, Crnich, CJ. Effect of an infection control program using education and performance feedback on rates of intravascular device-associated bloodstream infections in intensive care units in Argentina. Am J Infect Control 2003;31:405–409.Google Scholar