Abstract
Central line-associated bloodstream infections (CLABSI) in ambulatory pediatric populations
are difficult to track at an institutional level, especially for complex patients
seen by multiple clinical divisions and home health infusion agencies. Utilizing Lean
Six Sigma methodology, a multidisciplinary team created a standardized data collection
process for all ambulatory CLABSIs and infection event reviews. This report is a novel
institutional approach to accurately surveil, attribute, and calculate ambulatory
CLABSI data.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Infection ControlAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Surveillance of home health central venous catheter care outcomes: challenges and future directions.Am J Infect Control. 2019; 47: 1382-1387https://doi.org/10.1016/j.ajic.2019.04.177
- A new frontier: central line–associated bloodstream infection surveillance in home infusion therapy.Am J Infect Control. 2018; 46: 1419-1421https://doi.org/10.1016/j.ajic.2018.05.016
- Risk factors of ambulatory central-line associated bloodstream infection in pediatric short bowel syndrome.JPEN J Parenter Enteral Nutr. 2020; 44: 500-506https://doi.org/10.1002/jpen.1667
- Analysis of healthcare institutional costs of pediatric home parenteral nutrition central line infections.J Pediatr Gastroenterol Nutri. 2018; 67: e77-e81https://doi.org/10.1097/MPG.0000000000002058
- Bringing central line–associated bloodstream infection prevention home: CLABSI definitions and prevention policies in home health care agencies.Jt Comm J Qual Patient Saf. 2013; 39: 361-370https://doi.org/10.1016/s1553-7250(13)39050-3
- Assessing burden of central line–associated bloodstream infections present on hospital admission.Am J Infect Control. 2020; 48: 216-218https://doi.org/10.1016/j.ajic.2019.08.010
- Perspectives on central-line–associated bloodstream infection surveillance in home infusion therapy.Infect Control Hosp Epidemiol. 2019; 40: 729-731https://doi.org/10.1017/ice.2019.90
Centers for Disease Control and Prevention. Device-associated module: bloodstream infection event (central line-associated bloodstream infection and non-central line associated bloodstream infection). Available at: https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf. Accessed September 11, 2020.
- Central venous catheter infections in home parenteral nutrition patients: outcomes from Sustain: American Society for Parenteral and Enteral Nutrition's National Patient Registry for Nutrition Care.Am J Infect Control. 2016; 44: 1462-1468https://doi.org/10.1016/j.ajic.2016.06.028
- Decreasing central line–associated bloodstream infections acquired in the home setting among pediatric oncology patients.J Pediatr Oncol Nurs. 2020; 37: 204-211https://doi.org/10.1177/1043454220907551
- Ambulatory pediatric oncology CLABSIs: epidemiology and risk factors.Pediatr Blood Cancer. 2013; 60: 1882-1889https://doi.org/10.1002/pbc.24677
- Caregiver education reduces the incidence of community-acquired CLABSIs in the pediatric patient with intestinal failure.Gastroenterol Nurs. 2017; 40: 458-462https://doi.org/10.1097/SGA.0000000000000274
- Pediatric ambulatory central line–associated bloodstream infections.Pediatrics. 2021; 147e20200524https://doi.org/10.1542/peds.2020-0524
- A quality improvement bundle to reduce ambulatory CLABSI: the importance of a multidisciplinary team.Pediatr Qual Saf. 2021; 6: e500https://doi.org/10.1097/pq9.0000000000000500
- Alcohol-impregnated caps and ambulatory central-line–associated bloodstream infections (CLABSIs): A randomized clinical trial.Infect Control Hosp Epidemiol. 2021; 42: 431-439https://doi.org/10.1017/ice.2020.467
Article Info
Publication History
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.