Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug 18;5(1):u212545.w4986.
doi: 10.1136/bmjquality.u212545.w4986. eCollection 2016.

A project to reduce the rate of central line associated bloodstream infection in ICU patients to a target of zero

Muhammad Yaseen  1 , Fahad Al-Hameed  1 , Khalid Osman  1 , Mansour Al-Janadi  1 , Majid Al-Shamrani  1 , Asim Al-Saedi  1 , Abdulhakeem Al-Thaqafi  1
Affiliations

A project to reduce the rate of central line associated bloodstream infection in ICU patients to a target of zero

Muhammad Yaseen et al. BMJ Qual Improv Rep. .

Abstract

Central venous catheters (CVCs) are life-saving and the majority of patients in intensive care units (ICUs) have them placed in order to receive medicine and fluids. However, the use of these catheters can result in serious bloodstream infections. The rate of Central Line Associated Blood Stream Infection (CLABSI) in Adult Intensive Care Units (ICUs) at King Abdulaziz Medical City Jeddah (KAMC-J) at the start of the project was 2.0/1000 line days in 2008. The Central Line (CL) Bundle by the Institute of Healthcare Improvement (IHI) was implemented at the same time with monitoring of compliance to the CL Bundle. The compliance to CL Bundle was very low at 37% in the same period. A multidisciplinary team was created to improve the compliance to the CL bundle which was expected to have an impact on the rate of CLABSI to achieve zero CLABSI events. The team continued to monitor and evaluate the progress on the compliance to the bundle as well as monitoring the CLABSI events using National Healthcare Safety Network diagnostic criteria. The real reduction in the rate of CLABSI was achieved in 2010 with 0.7/1,000 device days when the compliance to CL Bundle reached up to 98% in that year and 100% in the next two subsequent years. The project still continued and the rate continued to drop and the ultimate target of zero CLABSI was achieved in the year 2014 and maintained in the year 2015 with a sustained compliance of 100% to the CL Bundle. Successful implementation of CL Bundle can help in reducing the rates of CLABSI and achieving zero CLABSI events for a sustained period.

PubMed Disclaimer

Figures

Chart 1
Chart 1
CLABSI rate in Adult ICU of KAMC-J from 2008-2015
Chart 2
Chart 2
Compliance to Central Line Bundle in Adult ICUs at KAMC-J from 2008-2015
Chart 3
Chart 3
Compliance to CL bundle vs. CLABSI Events in Adult ICUs at KAMC-J from 2008-2015
See this image and copyright information in PMC

References

    1. Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc. 2006;81:1159–1171. - PubMed
    1. Centers for Disease Control and Prevention (CDC): Vital signs: central line-associated bloodstream infection - United States, 2001, 2008, and 2009. MMWR Morb Mortal Wkly Rep. 2011;60:243–248. - PubMed
    1. Fagan RP, Edwards JR, Park BJ, Fridkin SK, Magill SS. Incidence trends in pathogen-specific central line-associated bloodstream infections in US intensive care units. Infect Control Hosp Epidemiol. 2013;36:893–899. - PMC - PubMed
    1. Boyce JM. Prevention of central line-associated bloodstream infections in hemodialysis patients. Infect Control Hosp Epidemiol. 2012;33:936–944 - PubMed
    1. Rosenthal VD. Central line-associated bloodstream infections in limited-resource countries: a review of the literature. Clin Infect Dis. 2009;49:1899–1907. - PubMed

LinkOut - more resources