Volume 5 Supplement 6

International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access

The impact of a set of measures on the incidence of central line-associated bloodsteam infection in intensive care units

  • DP Cais1,
  • F Minenelli1 and
  • ML Biancalana1
BMC Proceedings20115(Suppl 6):P57

DOI: 10.1186/1753-6561-5-S6-P57

Published: 29 June 2011

Introduction / objectives

Intravascular catheters are necessary in health care practice, particularly in Intensive Care Units (ICU). However, central line-associated bloodstream infection (CLABSI) is related to prolonged hospitalization, increase of mortality and costs.

Aim

To analyze the impact of the implementation of a set of measures on the incidence of CLABSI.

Methods

The study was conducted during 2010 in a general ICU and in a Cardiology ICU of a medium sized hospital in Sao Paulo, Brazil. CLABSI was defined according to the National Healthcare Safety Network definition. The set of measures was introduced in July 2010 and included reinforcement of prevention measures, switching opaque valve connectors to a transparent version, introduction of chlorhexidine gluconate transparent dressing, and weekly audits with feedback to the healthcare team on CLABSI prevention measures.

Results

Analysis between January and July indicated development of infection related to the catheter’s maintenance and not to its placement, which directed the set of measures. Incidences of CLABSI before and after measures implementation were 5.1 and 3.8 per 1,000 catheters-day. The highest value was observed in July, 8.7, and a reduction occurred over the following 3 months: 4.0, 3.3 and 2.0. In November, an increase was noted (6.5) and observational audits of hand hygiene adherence were performed, leading to a reduction to 3.0 in December.

Conclusion

The measures implementation contributed on the decrease of the incidence of CLABSI. However, to maintain low rates, continuous and multidisciplinary strategies need to be implemented focusing on motivation, education, monitoring, and dissemination of information. Furthermore, responsibilities need to be shared with local leaders.

Disclosure of interest

None declared.

Authors’ Affiliations

(1)
Infection Control, Hospital Samaritano

Copyright

© Cais et al; licensee BioMed Central Ltd. 2011

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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