Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T22:33:36.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Analysis of Central Line–Associated Bloodstream Infections in the Intensive Care Unit after Implementation of Central Line Bundles

Published online by Cambridge University Press:  02 January 2015

Emily K. Shuman ,
Laraine L. Washer ,
Jennifer L. Arndt ,
Christy A. Zalewski ,
Robert C. Hyzy ,
Lena M. Napolitano  and
Carol E. Chenoweth
Emily K. Shuman*
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor
Laraine L. Washer
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor Department of Infection Control and Epidemiology, University of Michigan, Ann Arbor
Jennifer L. Arndt
Affiliation:
Department of Infection Control and Epidemiology, University of Michigan, Ann Arbor
Christy A. Zalewski
Affiliation:
Department of Infection Control and Epidemiology, University of Michigan, Ann Arbor
Robert C. Hyzy
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor
Lena M. Napolitano
Affiliation:
Department of Surgery, University of Michigan, Ann Arbor
Carol E. Chenoweth
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor Department of Infection Control and Epidemiology, University of Michigan, Ann Arbor
*
3119 Taubman Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5378, ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Central line-associated bloodstream infections (CLABSIs) have been reduced in number but not eliminated in our intensive care units with use of central line bundles. We performed an analysis of remaining CLABSIs. Many bloodstream infections that met the definition of CLABSI had sources other than central lines or represented contaminated blood samples.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 5 , May 2010 , pp. 551 - 553
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Berenholtz, SM, Pronovost, PJ, Lipsett, PA, et al.Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004;32:2014–2020.Google Scholar
2.Pronovost, P, Needham, D, Berenholtz, S, et al.An intervention to decrease catheter-related bloodstream infections in the intensive care unit. NEngl J Med 2006;355:2725–2732.CrossRefGoogle Scholar
3.Krein, SL, Hofer, TP, Kowalski, CP, et al.Use of central venous catheter-related bloodstream prevention practices by US hospitals. Mayo Clin Proc 2007;82:672–678.Google Scholar
4.O'Grady, NP, Alexander, M, Dellinger, EP, et al.Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep 2002;51(RR-10):1–29.Google ScholarPubMed
5.Weinstein, MP, Towns, ML, Quartey, SM, et al.The clinical significance of positive blood cultures in the 1990s: a prospective and comprehensive evaluation of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults. Clin Infect Dis 1997;24:584–602.Google Scholar
6.Everts, RJ, Vinson, EN, Adholla, PO, Reiler, LB. Contamination of catheter-drawn blood cultures. J Clin Microbiol 2001;39:3393–3394.Google Scholar
7.Maki, DG, Kluger, DM, Crnich, CJ. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc 2006;81:1159–1171.CrossRefGoogle ScholarPubMed
8.Beezhold, DW, Slaughter, S, Hayden, MK, et al.Skin colonization with vancomycin-resistant enterococci among hospitalized patients with bacteremia. Clin Infect Dis 1997;24:704–706.CrossRefGoogle ScholarPubMed
9.Bleasdale, SC, Trick, WE, Gonzalez, IM, Lyles, RD, Hayden, MK, Weinstein, RA. Effectiveness of Chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care patients. Arch Intern Med 2007;167:2073–2079.CrossRefGoogle Scholar
10.Goodman, ER, Platt, R, Bass, R, Onderdonk, AB, Yokoe, DS, Huang, SS. Impact of an environmental cleaning intervention on the presence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on surfaces in intensive care unit rooms. Infect Control Hosp Epidemiol 2008;29:593–599.Google Scholar
11. National Healthcare Safety Network, Centers for Disease Control and Prevention. The National Healthcare Safety Network (NHSN) manual: patient safety component protocol. 2008. http://www.cdc.gov/nhsn. Accessed October 19, 2009.Google Scholar