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Marianne Pavia1, Marianne Mazza1
1St. Mary's Healthcare System for Children, Bayside, NY.
Insights
A pediatric hospital reduced bloodstream infections (BSIs) in short bowel syndrome patients using an alcohol disinfection cap and additional interventions. Both the cap-only and multipronged approaches significantly lowered BSI rates.
Area of Science:
- Pediatric Medicine
- Infectious Disease Control
- Hospital Epidemiology
Background:
- Short bowel syndrome (SBS) patients in specialized pediatric hospitals face high bloodstream infection (BSI) risk.
- Fecal residue and frequent intravenous (IV) line access are key contributors to BSI in this vulnerable population.
Purpose of the Study:
- To evaluate the effectiveness of infection control interventions in reducing BSIs among pediatric SBS patients.
- To compare the impact of a single intervention (disinfection cap) versus a multipronged approach.
Main Methods:
- Implementation of an alcohol-dispensing disinfection cap for IV lines.
- Addition of three further interventions following the initial cap implementation.
- Monitoring of BSI rates during the cap-only phase and the subsequent multipronged phase.
Main Results:
- The alcohol-disinfection cap-only phase demonstrated a reduction in BSI rates.
- The subsequent multipronged intervention phase also achieved a significant decrease in hospital-acquired BSIs.
- Both intervention strategies proved successful in lowering the overall BSI rate.
Conclusions:
- Targeted infection control measures, including disinfection caps, are effective in reducing BSIs in pediatric SBS patients.
- A multipronged approach can further enhance BSI reduction efforts.
- These findings support the adoption of similar strategies in high-risk pediatric populations.
Abstract:
A specialized pediatric hospital serves many patients with short bowel syndrome. The patients' fecal residue plus frequent access of intravenous lines increases bloodstream infection (BSI) risk. To reduce BSIs, the hospital first implemented an alcohol-dispensing disinfection cap and then added 3 more interventions, with both the cap-only phase and the multipronged phase successfully lowering the hospital's BSI rate.
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