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CLABSICentral Line-Associated Bloodstream Infection
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Simple interventions such as use of maximal barrier precautions [34] and use of chlorhexidine rather than iodophors for cutaneous antisepsis [35] have resulted in decreased incidence of CLABSI in randomized trials [34].
The CLABSI bundle was reviewed in the middle of 2012 and a sustained intervention of training and implementation, corroborated by improved compliance, resulted in achievement of a zero rate within a few months.
In 2014, the incidence of CLABSI in acute care hospitals reached the 2013 goal established by the HAI Action Plan (5), decreasing 50% during 2008--2014.
While statistical significance was not reached in every category, the improvement of nurse-sensitive clinical outcomes, including patient falls, CAUTI, CLABSI, and PUP, demonstrated the significant operational significance of this risk-adjustment strategy.
Guidelines for prevention of CLABSI have recommended implementation of the Central Line bundle.
A leading cause of healthcare-associated infections in acute care hospitals, CLABSIs are linked to a central line or central vascular catheter--a long, thin tube inserted into a large vein and used to provide medicine, fluid, nutrients, or blood over an extended period of time to the sickest patients.
During the study, patients had a total of 115 bloodstream infections, including 42 with CLABSI.
For borderline cases that barely meet the CDC [Centers for Disease Control and Prevention] definition, a Listserv query can ask, 'Would you call this a CLABSI at your institution?
The CDC collects robust clinical data regarding CLABSI, yet CMS and many states measure these infections using notoriously inaccurate hospital billing data (U.
11 All of these organisms are commonly implicated in hospital-associated infections (HAIs) such as CLABSIs.
acute-care hospitals performing surveillance for either CAUTI or CLABSI in any part of their hospital, 181 (4.
They might not have known that 21 CLABSI infections had occurred in the neonatal intensive care unit or that the pediatric ICU had seven CLABSI infections that year, costing an estimated $40,000 each.