CHAPTER 44 An Intervention to Decrease Catheter-related Bloodstream Infection

An Intervention to Decrease Catheter-related Bloodstream Infections in the ICU

Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355(26):2725–2732

BACKGROUND

Central line-associated bloodstream infections (CLABSI) were estimated to cause 80,000 cases of central line-associated infections and as many as 28,000 deaths in the United States. Each catheter-related infection can cost as much as $11,971 to $54,000, per infection. At the time of this study, it was unclear how many of these infections were preventable. It was theorized that changes in the placement and management of central catheters could potentially save thousands of lives and reduce hospital stays; however, no study had broadly demonstrated optimal practices to achieve this goal.

OBJECTIVES

To implement an intervention to reduce the incidence of CLABSI in intensive care units (ICUs).

METHODS

Prospective observational study at 67 hospitals, including 108 ICUs in Michigan between March 2004 and September 2005.

Patients

Related posts:

Oral vs. IV Rehydration Spontaneous Ureteral Stone Passage Heparinizing Unstable Angina Amiodarone in Ventricular Fibrillation Bicarbonate Therapy in DKA Risk of Serious Bacterial Infection in Febrile Infants with RSV

Stay updated, free articles. Join our Telegram channel

Join