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Published on: July 13, 2019
[Incidence of central line-associated bloodstream infection in an intensive care unit]
M Espiau1, M Pujol, M Campins-Martí
1Unitat de Patologia Infecciosa i Immunodeficiències de Pediatria, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, España. mespiau@vhebron.net
Insights
Central line-associated bloodstream infections (CLABSI) are a significant concern in pediatric intensive care units (PICUs). Implementing a "Bacteraemia zero" program effectively reduced CLABSI incidence in pediatric patients.
Area of Science:
- Infectious Diseases
- Pediatric Critical Care
- Hospital Epidemiology
Context:
- Central line-associated bloodstream infection (CLABSI) is a prevalent nosocomial infection, particularly in pediatric intensive care units (PICUs).
- CLABSI contributes significantly to patient morbidity, necessitating effective prevention strategies.
- The incidence of CLABSI is notably higher in pediatric patients compared to adults.
Purpose:
- To evaluate the impact of a
Summary:
- An intervention study in a pediatric ICU assessed the
Impact:
- The
Background:
Central line-associated bloodstream infection (CLABSI) is one of the most common nosocomial infections. The incidence is higher in paediatric patients than in adults, especially in those admitted to Intensive Care Units (ICU). CLABSI-related morbidity makes it a major health problem; therefore it is necessary to develop prevention strategies against it.
Patients And Methods:
An intervention study in a paediatric ICU (PICU) was performed, in order to assess the impact of the introduction of the program «Bacteraemia zero» in December 2007. This program aims to prevent CLABSI. Demographic data and variables related to hospitalisation and infection were collected from January to December 2007 (before the intervention) and from January to December 2008 (after the intervention), and were compared. In the first period, 497 patients were studied, and 495 in the second.
Results:
A reduction of 30.4% in the incidence of CLABSI (P=0.49) in the second year was observed (5.5 to 3.8 episodes per 1000 catheter-days). The CVC use ratio was 0.59 and 0.64, respectively. The most frequently isolated organism was coagulase-negative Staphylococcus spp.
Conclusions:
The implementation of a «no bacteraemia» program, involving all staff in the PICU as well as the professionals in infection control, reduces the incidence of CLABSI.
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