Reduction in Central Line-Associated Bloodstream Infection Rates After Implementations of Infection Control Measures at a Level 3 Neonatal Intensive Care Unit.
Advances in neonatology led to survival of micro-preemies, who need central lines. Central line-associated bloodstream infection (CLABSI) causes prolonged hospitalization, morbidities, and mortality. Health care team education decreases CLABSIs. The objective was to decrease CLABSIs using evidence-based measures. The retrospective review compared CLABSI incidence during and after changes in catheter care. In April 2011, intravenous (IV) tubing changed from Interlink to Clearlink; IV tubing changing interval increased from 24 to 72 hours. CLABSIs increased. The following measures were implemented: July 2011, reeducation of neonatal intensive care staff on Clearlink; August 2011, IV tubing changing interval returned to 24 hours; September 2011, changed from Clearlink back to Interlink; November 2011, review of entire IV process and in-service on hand hygiene; December 2011, competencies on IV access for all nurses. CLABSIs were compared during and after interventions. Means were compared using the t test and ratios using the χ(2) test; P <.05. CLABSIs decreased from 4.4/1000 to 0/1000 catheter-days; P < .05. Evidence-based interventions reduced CLABSIs.
State University of New York at Buffalo, Buffalo, NY.
Vikramaditya
V
Dumpa
Children's Hospital at Saint Peter's University Hospital, New Brunswick, NJ.
Bonny
B
Adler
Children's Hospital at Saint Peter's University Hospital, New Brunswick, NJ.
Delena
D
Allen
Children's Hospital at Saint Peter's University Hospital, New Brunswick, NJ.
Deborah
D
Bowman
Saint Peter's University Hospital, New Brunswick, NY.
Amy
A
Gram
Saint Peter's University Hospital, New Brunswick, NY.
Pat
P
Ford
St Luke's University Health Network, Bethlehem, PA susannoh@optonline.net.
Sulaiman
S
Sannoh
D001724:Birth Weight; D055499:Catheter-Related Infections / Q000517:prevention & control*; D019317:Evidence-Based Medicine; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D017053:Infection Control / Q000295:instrumentation / Q000458:organization & administration*; D007318:Inservice Training; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration*; D008297:Male; D058996:Quality Improvement / Q000458:organization & administration; D012189:Retrospective Studies; D013997:Time Factors
Clearlink; Interlink; central line–associated bloodstream infection (CLABSI); evidence-based intervention; health care team education; intravenous tubing; quality improvement project