Decreasing catheter-related bloodstream infections in the intensive care unit: Interventions in a medical center in central Taiwan
Pin-Pin Wu, Chun-Eng Liu, Chih-Yen Chang, Hsiao-Chun Huang, Siou-Siou Syu, Chu-Hsien Wang, Yi-Chen Huang
Received: April 30, 2011 Revised: August 22, 2011 Accepted: August 30, 2011
Background and purpose:
A high catheter-related bloodstream infection (CRBSI) rate, in comparison with that in the National Healthcare Safety Network report, is an important concern in our hospital. Therefore, evidence-based interventions have been introduced to reduce the rate of CRBSI.
The utilization ratios of CVC changed little during the study. The median CRBSI infection rates decreased from 1.95 (mean 1.58) infections per 1000 catheter-days at baseline to 0 (mean 1.06) after interventions (p = 0.310 by the Wilcoxon signed ranks test). The rate of CRBSI in one ICU showed 0 infections per 1000 catheter-days, which was sustained for 6 months after interventions.
The reduction of infection rates could be possible by standardizing the CVC implantation procedure. However, more interventions, such as cleaning the skin with chlorhexidine, avoiding the femoral site when possible, and removing unnecessary catheters, should also be considered to reduce the rate of CRBSI.
, , ,