title: Efforts of a Unit Practice Council to implement practice change utilizing alcohol impregnated port protectors in a burn ICU.
abstract: BACKGROUND
  Burn patients are an especially high-risk population for development of central line associated bloodstream infections (CLABSI) due to open wounds, extended length of intensive care unit stay, frequent use of central venous catheters, and generally immunocompromised state. Implementing evidence-based practices to prevent these infections is a 2014 National Patient Safety Goal per The Joint Commission.
  
  
  OBJECTIVE
  The purpose of this project was introduction of a commercially available alcohol impregnated central venous line port protector to reduce the incidence of CLABSI in the burn unit.
  
  
  METHODS
  The Iowa Model for Implementing Evidenced-Based Practice was used to guide this intervention conducted by the Unit Practice Council. A pre- and post-intervention design compared rates of CLABSI before and after introduction of the port protectors.
  
  
  RESULTS
  CLABSI infection rates decreased following the intervention from baseline of 7.3 per 1000 line days to an average of 3.04 per 1000 line days during calendar year 2013.
  
  
  CONCLUSIONS
  Introduction of an alcohol impregnated central venous line port protector can reduce the incidence of CLABSI in a burn unit.
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: Amy
authors.initials: A
authors.lastname: Martino
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: Leanna
authors.initials: L
authors.lastname: Thompson
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: Colleen
authors.initials: C
authors.lastname: Mitchell
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: Rachel
authors.initials: R
authors.lastname: Trichel
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: William
authors.initials: W
authors.lastname: Chappell
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: Justin
authors.initials: J
authors.lastname: Miller
authors.affiliation: Brooke Army Medical Center, JBSA Fort Sam Houston, TX, United States.
authors.forename: David
authors.initials: D
authors.lastname: Allen
authors.affiliation: US Army Institute of Surgical Research, Army Burn Center, JBSA Fort Sam Houston, TX, United States. Electronic address: Elizabeth.A.Mannsalinas.mil@mail.mil.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Mann-Salinas
mesh_terms: D000438:Alcohols / Q000008:administration & dosage*; D002056:Burns / Q000150:complications / Q000628:therapy*; D055499:Catheter-Related Infections / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D062905:Central Venous Catheters; D054976:Clinical Governance / Q000458:organization & administration*; D004202:Disinfectants / Q000008:administration & dosage*; D004203:Disinfection / Q000379:methods*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007362:Intensive Care Units; D009741:Nursing Staff, Hospital; D018805:Sepsis / Q000517:prevention & control
chemical_list: D000438:Alcohols; D004202:Disinfectants