Effect of a Multidisciplinary Team Approach to Eradicate Central Line Associated Blood-Stream Infections (CLABSI)
AuthorsWalz, J. Matthias
Ellison, Richard T. III
Mack, Deborah Ann
Baker, Stephen P.
Heard, Stephen O.
CCOC Research Group
UMass Chan AffiliationsDepartment of Quantitative Health Sciences
Department of Medicine, Division of Infectious Diseases and Immunology
Department of Anesthesiology
Catheterization, Central Venous
Central Line Associated Blood-Stream Infections
intensive care unit
Anesthesia and Analgesia
Bacterial Infections and Mycoses
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AbstractIntroduction: CLABSI remains a significant problem in the intensive care unit. Hypothesis: A multimodal approach for the insertion and care of CVC will prevent CLABSI. Methods: A Critical Care Operations Committee was formed to transform care in 8 intensive care units (ICU) in an academic medical center in 9/2004. One goal was to reduce CLABSI. Using evidence based medicine, a clinical practice guideline was developed that incorporated the use of maximum barrier precautions, chlorhexidine skin preparation, avoidance of the femoral insertion site, dedicated catheter cart, a check list, the tracking of high risk CVC, anti-septic or antimicrobial impregnated catheters, a recommendation to use ultrasound guidance when inserting CVC in the internal jugular vein, daily determination of the need for the CVC and treatment of CLABSI as a critical event.CLABSI were adjudicated by the hospital epidemiologist and CVC days were tracked. Rates of CLABSI were followed from 9/2004 through 7/2011. The Spearman correlation coefficient was used for statistical evaluation. A p Results: CLABSI rates (per 1000 catheter-days) declined dramatically from 2004 to 2011 (p Conclusions: A multimodal approach to CVC insertion and care reduces CLABSI by over 90%. Our ultimate goal is the complete eradication of CRBSI in our institution.
Walz J, Ellison R, Flaherty H, McIlwaine J, Mack D, Whyte K, Heard S. Effect of a multidisciplinary team approach to eradicate central venous catheter (CVC) bloodstream infections (CRBSI). Crit Care Med 2011;39 (Suppl):161.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/25718
Poster presentation at the Society of Critical Care Medicine’s 41st Critical Care Congress in Houston, Texas, February 4-8, 2012.