title: Use of a Feeding Bundle Appears to Reduce Central Line Utilization in Neonates.
abstract: We investigated whether a standardized feeding bundle reduces central line utilization in very low birth weight neonates. A chart review of infants ≤1500 g requiring a central line was prepared for 2009 to 2012. Infants were stratified into 3 weight groups: ≤750 g, 751 to 1000 g, and 1001 to 1500 g. The number of central line-associated bloodstream infections (CLABSIs) was recorded. Central line utilization decreased in all of the groups: 0.45 to 0.28 in ≤750 g infants, 0.4 to 0.27 in 751 to 1000 g infants, and 0.39 to 0.3 in 1001 to 1500 g infants (all of the P < 0.001). The CLABSIs rate was unchanged. Implementation of a feeding bundle decreased central line utilization. A feeding bundle had no effect on the rate of CLABSIs.
authors.affiliation: *Department of Pediatrics †Department of Epidemiology, Albany Medical Center, Albany, NY.
authors.forename: Kate A
authors.initials: KA
authors.lastname: Tauber
authors.forename: Pauline
authors.initials: P
authors.lastname: Graziano
authors.forename: Eileen
authors.initials: E
authors.lastname: Graffunder
authors.forename: Michael
authors.initials: M
authors.lastname: Horgan
mesh_terms: D055499:Catheter-Related Infections / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects; D004750:Enteral Nutrition / Q000379:methods*; D005248:Feeding Methods; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development; D019102:Infant, Very Low Birth Weight / Q000254:growth & development; D015931:Intensive Care, Neonatal / Q000379:methods*; D008895:Milk, Human; D010288:Parenteral Nutrition / Q000379:methods; D012189:Retrospective Studies