CLABSI Monograph. Preventing Central Line–Associated Bloodstream Infections: A Global Challenge, A ...

Two terms, centralline–associated bloodstream infection (CLABSI) and catheter-related bloodstream infection (CRBSI), should be distinguished in the following way4,5: CLABSI is the term used by the US Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN)6 (see NHSN CLABSI

Bundles incorporate evidence-based science into practices, and bundle use is recommended in central line–associated bloodstream infection (CLABSI) guidelines.1,2,3 More than a decade ago, the bundles were shown to reduce rates of central venous catheter (CVC)–related infections. 4 Recent studies have demonstrated that consistent application ...

Intrinsic and Extrinsic Risk Factors for CLABSI Intrinsic Risk Factors (nonmodifiable characteristics of the patient) Extrinsic Risk Factors (potentially modifiable factors associated with CVC insertion or maintenance) Patient’s age Prolonged hospitalization before CVC insertion Underlying diseases or conditions Multiple CVCs

CLABSI Peripherally in-serted central catheter (PICC) Inserted percuta-neously into basilic, brachial, or cephalic vein and enters the superior vena cava Usually short to in-termediate Ease of inser-tion, usually at the bedside by a specially trained registered nurse Can be difficult to position in central vein Potential for occlusion

reducing adult CLABSI rates would apply to children.9 Insertion bundle9 o Wash hands before the procedure. o For all children aged more than 2 months, use chlorhexidine gluconate to scrub the insertion site for 30 seconds for all areas except the groin, which should be scrubbed for 2 minutes. Scrubbing should be followed by 30 to 60 seconds of

number of CLABSI cases in each unit assessed _____ x 1,000 total number of central line– days in each unit assessed Note that central line–days, not patient-days, are used as the denominator, as only patients with a central line are at risk of developing a CLABSI.1 The NHSN methodology also stipulates that no matter

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infection (CLABSI) in intensive care units with low baseline incidence of CLABSI. Infect Control Hosp Epidemiol. 2010 Sep;31(9):964–967. 3. Barsuk JH, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009 Aug 10;169(15):1420–1423. 4.

2001年7月4日 · That Address the Prevention and Control of CLABSI Requirement Joint Commission Requirement Joint Commission International Requirement CLABSI Implement evidence-based practices to prevent CLABSI. NPSG.07.04.01 IC.01.04.01 PCI.3 PCI.3, ME 1 PCI.3, ME 2 PCI.3, ME 3 PCI.3, ME 4 PCI.5 QPS.2.1, ME 3 Educate staff and licensed …