CRBSI Article Collection
A fall in bloodstream infections followed a change to 2% chlorhexidine in 70% isopropanol for catheter connection antisepsis: A pediatric single center before/after study on a hemopoietic stem cell transplant wardSome catheter-related bloodstream infections originate from catheter connectors; therefore, improved antisepsis of these might be expected to reduce the incidence of such infections.
Design Features of Needleless Vascular Access Devices May Contribute to an Increase in Microbial Contamination and Subsequent Catheter-Related Bloodstream Infection'sVictor Lange, BS, BA, MS, CRC, Director, Infection Control, Southwest Healthcare System, Mission Viejo, CA
Innovative Central Line Bundle Achieves Zero Rate of Catheter-Related Bloodstream Infections for 24 MonthsSophie Harnage, B.S.N, R.N, Clinical Manger, Infusion Services, Sutter Roseville Medical Center, Roseville, CA.
Reducing the Occurrence of Short Onset Central Line Related BacteremiaBACKGROUND/OBJECTIVES: Catheter Related Bloodstream Infections (CRBSIs) have been targeted for reduction at our 500-bed university-affiliated hospital since 2001. Prospective, house-wide surveillance for CRBSI revealed a cluster of CRBSIs with onset shortly after insertion (≤14 days) among patients with central catheters inserted in Interventional Radiology (IR) during the months of June through August 2002. METHODS: The use of Chloroprep®, a 2% CHG/70% alcohol skin prep (ALC/CHG) was introduced in June 2003.
Are antiseptic-coated central venous catheters effective in a real-world setting?Catheter-related bloodstream infections are common, costly, and morbid. Randomized controlled trials indicate that antiseptic-coated central venous catheters reduce infection rates.
Implementing evidence-based practices to reduce catheter-related bloodstream infections in the intensive care unitISSUE: Catheter-related bloodstream infections (CRBSIs) affect over 200,000 patients per year in the United States, increasing mortality risk 4%–35% and costing an estimated $6,000–$40,000 per infection. Strict adherence to evidence-based practices has been shown to reduce nosocomial CRBSI. PROJECT: We studied the reduction of CRBSI using a modified Institute for Healthcare Improvement framework and attention to campaign strategies (military, political, and marketing) at intensive care units (ICUs) from four healthcare systems representing tertiary referral, moderate-sized community, and small rural facilities.
Safe passage campaign to prevent catheter-related bloodstream infections (CR-BSIs) in a tertiary neonatal intensive care unit (NICU)ISSUE: Inconsistent use of the Center for Disease Control and Prevention (CDC) guidelines for prevention of CR-BSIs as well as lack of clear, concise communication between members of the healthcare team can result in CR-BSIs. Due to fluctuating CRBSI rates, a multiphased “safe passage” campaign was launched in our 50-bed NICU to address both issues. PROJECT: A teamwork and safety culture survey was conducted to provide a baseline measure. This was followed by a central line education and competency program.
Guidelines for the prevention of intravascular catheter-related infectionsBackground: Although many catheter-related bloodstream infections (CR-BSIs) are preventable, measures to reduce these infections are not uniformly implemented. Objective: To update an existing evidenced-based guideline that promotes strategies to prevent CR-BSIs. Data Sources: The MEDLINE database, conference proceedings, and bibliographies of review articles and book chapters were searched for relevant articles. Studies Included: Laboratory-based studies, controlled clinical trials, prospective interventional trials, and epidemiological investigations.