Related Experiment Video
Updated: Oct 14, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Enlisting Parents to Decrease Hospital-Acquired Central Line-Associated Infections in the Pediatric Intensive Care
Ariel Gilbert1, Cathy C Cartwright1
1Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA.
Insights
Hospital-acquired central line-associated bloodstream infections (CLABSIs) in pediatric ICUs are preventable. Implementing maintenance bundles and involving families in safety strategies significantly reduces CLABSI incidence.
Area of Science:
- Infection Control
- Pediatric Critical Care Medicine
- Nursing Science
Background:
- Central line-associated bloodstream infections (CLABSIs) are a primary concern in pediatric intensive care units (PICUs).
- Bacterial transmission leading to CLABSIs occurs through healthcare workers, parents, and family members.
- Effective prevention relies on stringent hand hygiene and safety protocols.
Purpose of the Study:
- To highlight the effectiveness of maintenance bundles in preventing CLABSIs.
- To emphasize the role of nurses in CLABSI reduction strategies.
- To underscore the importance of family inclusion in patient safety initiatives.
Main Methods:
- Review of established CLABSI prevention strategies.
- Focus on the components of maintenance bundles (hand hygiene, dressing changes, aseptic technique).
- Emphasis on the collaborative role of nursing staff and families.
Main Results:
- Maintenance bundles are effective in mitigating CLABSI risks.
- Nurses play a crucial role in implementing these bundles.
- Family and parent engagement enhances safety prevention strategies.
Conclusions:
- Nurses can significantly decrease CLABSI rates through consistent use of maintenance bundles.
- Integrating families into safety protocols is vital for preventing hospital-acquired infections.
- Scrupulous adherence to bundled interventions is key to improving patient outcomes in PICUs.
Abstract:
Hospital-acquired central line-associated bloodstream infections (CLABSIs) are the leading cause of infections in the pediatric intensive care unit. Bacteria responsible for CLABSIs are spread by health care workers, parents, and families and mitigated by scrupulous attention to hand hygiene and safety prevention strategies. Maintenance bundles are grouped elements, such as hand hygiene, standardized dressing and tubing changes, and aseptic technique for entering a central line, effective in preventing CLABSIs. Nurses can decrease the incidence of CLABSIs by using maintenance bundles and including parents and families in safety prevention strategies."
Related Concept Videos
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Endocarditis IV: Nursing Management
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...

