Quality improvement intervention reduces episodes of long-term acute care hospital central line-associated infections.
BACKGROUND
Reducing central line-associated bloodstream infections (CLABSIs) poses a set of unique challenges in long-term acute care hospitals (LTACHS). Patients are often admitted to LTACHs with central lines in place from the previous hospitalization; thus, LTACHs lack control over insertion techniques and respective central line care and maintenance. This study aimed to demonstrate the impact of a methodical bathing approach with 2% chlorhexidine gluconate (CHG) cloths and a correlation with a reduced prevalence of CLABSIs in our LTACH population.


METHODS
This retrospective observational quality initiative conducted in a 105-bed LTACH used plan-do-study-act methodology to assess the effects of a revised bathing approach using 2% CHG.


RESULTS
Statistical significance demonstrated a 65% reduction in CLABSI on the pilot unit after the 6-month initial trial. The results of the quality initiative were evaluated through the end of 2012.


CONCLUSIONS
The decision was made to implement the revised bathing protocol throughout the entire LTACH hospital stay.
Patient Care Services/CNO, Presence Holy Family Medical Center, Des Plaines, IL. Electronic address: Marti.Edwards@presencehealth.org.
Marti
M
Edwards
Patient Care Services/CNO, Presence Holy Family Medical Center, Des Plaines, IL.
Joanne
J
Purpura
Patient Care Services/CNO, Presence Holy Family Medical Center, Des Plaines, IL.
Guy
G
Kochvar
D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D001494:Baths / Q000379:methods; D055499:Catheter-Related Infections / Q000453:epidemiology* / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002710:Chlorhexidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D006761:Hospitals; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods*; D010865:Pilot Projects; D058996:Quality Improvement; D012189:Retrospective Studies
D000891:Anti-Infective Agents, Local; C010882:chlorhexidine gluconate; D002710:Chlorhexidine
CLABSI prevention; CRBSI prevention; Catheter-related blood stream infection prevention; Chlorhexidine gluconate