Researchers in a hospital in Taiwan implemented a multidimensional program from March 2013 to December 2013. The program included education, consisting of lectures and a teaching video; an insertion bundle with four components: hand hygiene, maximal sterile barriers upon insertion, use of CHG for skin preparation and avoidance of the femoral vein as the access site; a maintenance bundle including hand hygiene, proper dressing changes, aseptic technique for changing connectors and a daily review of catheter necessity; and process surveillance through the use of a checklist.
During the timeframe, a total of 687 central venous catheters were inserted. Compared to the baseline measurement, taken from March 2012 through December 2012, the number of CLABSIs declined from 1.65 per 1,000 catheter-days to 0.65 per 1,000 catheter-days.
The researchers concluded the multidisciplinary intervention can be effective in reducing CLABSI rates, and the maximal sterile barrier precaution “is an essential component of the care line insertion bundle.”
More Articles on CLABSI Rates:
Study: Front-Line Engagement, Education Can Reduce CLASBI Rates Outside ICU
SHEA, APIC, Joint Commission & Others Develop CLABSI Prevention Guidance
Reducing CLABSI Rates: 3 Hospitals’ Approaches
