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Published on: July 13, 2019
Pediatric central line: bundle implementation and outcomes
1Cardon Children's Medical Center, Mesa, Arizona 85202, USA. Suzan.miller-hoover@bannerhealth.com
Insights
Central vascular catheters are vital for pediatric intensive care patients but risk central line-associated bloodstream infections (CLABSI). This hospital
Area of Science:
- Pediatric Intensive Care Medicine
- Infection Control
- Vascular Access Devices
Background:
- Central vascular catheters are essential for pediatric intensive care, enabling monitoring and treatment delivery.
- Central line-associated bloodstream infections (CLABSI) are a significant risk associated with these catheters.
- CLABSI is recognized as a "never event" by CMS, highlighting its preventable nature.
Purpose of the Study:
- To describe evidence-based practices implemented by a hospital to reduce CLABSI rates.
- To share the hospital's experience in mitigating central line-associated bloodstream infections in pediatric intensive care.
Main Methods:
- Review of implemented measures for CLABSI reduction.
- Discussion of supporting research for evidence-based practices.
Main Results:
- Implementation of specific interventions aimed at decreasing CLABSI incidence.
- Successful reduction in CLABSI rates through targeted strategies.
Conclusions:
- Evidence-based practices are effective in reducing CLABSI in pediatric intensive care settings.
- Hospital-wide implementation of infection control bundles can significantly lower central line-associated bloodstream infections.
Abstract:
Central vascular catheters are an integral part of caring for a pediatric intensive care patient, providing hemodynamic monitoring capabilities, reliable vascular access for hydration, medication administration, and blood sampling. However, central vascular catheters put the patient at risk for central line-associated bloodstream infections (CLABSIs). In 2010, the Centers for Medicare & Medicaid Services added CLABSI to the list of "never events." This article discusses the measures one hospital implemented to reduce the CLABSI rate, and the research that supports this evidence-based practice.
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