title: Adding innovative practices and technology to central line bundle reduces bloodstream infection rate in challenging pediatric population.
abstract: A specialized pediatric hospital serves many patients with short bowel syndrome. The patients' fecal residue plus frequent access of intravenous lines increases bloodstream infection (BSI) risk. To reduce BSIs, the hospital first implemented an alcohol-dispensing disinfection cap and then added 3 more interventions, with both the cap-only phase and the multipronged phase successfully lowering the hospital's BSI rate.
authors.affiliation: St. Mary's Healthcare System for Children, Bayside, NY. Electronic address: mpavia@stmaryskids.org.
authors.forename: Marianne
authors.initials: M
authors.lastname: Pavia
authors.affiliation: St. Mary's Healthcare System for Children, Bayside, NY.
authors.forename: Marianne
authors.initials: M
authors.lastname: Mazza
mesh_terms: D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D016470:Bacteremia / Q000209:etiology / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D062905:Central Venous Catheters / Q000382:microbiology*; D002675:Child, Preschool; D002710:Chlorhexidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control*; D004203:Disinfection / Q000295:instrumentation / Q000379:methods*; D004866:Equipment Contamination; D000431:Ethanol; D006801:Humans; D010372:Pediatrics; D011481:Protective Clothing; D012307:Risk Factors; D012778:Short Bowel Syndrome / Q000150:complications*
chemical_list: D000891:Anti-Infective Agents, Local; D000431:Ethanol; C010882:chlorhexidine gluconate; D002710:Chlorhexidine
keywords: CLABSI; Central line–associated bloodstream infections; Chlorhexidine gluconate; Disinfection cap; Intravenous needleless connector; Short bowel syndrome