REDUCING OCCURENCES OF

CENTRAL LINE ASSOCIATED

BLOODSTREAM INFECTIONS
(CLABSI) IN THE HOSPITAL
STEVEN MARTINEZ
BRANDON GIBBS
CLABSI STATISTICS
• Central venous catheters (CVCs) are the most frequent cause of healthcare-
associated bloodstream infections1
• More than 250,000 infections in the US yearly2
• Most costly infection, approximately $46,000 per case2
• 48% of intensive care unit (ICU) patients have central lines, accounting for
about 15 million central-venous-catheter-days per year in ICUs3
• Femoral lines have have the highest infection rate, followed by Internal
Jugular, and subclavian2
CLABSI CAUSATIVE ORGANISMS
• Within 7 to 10 days of central venous catheter placement, bacteria on the
skin surface migrate along the external surface of the catheter from the skin
exit site towards the intravascular space.2

Top three organisms

• Coagulase-negative Staphylococci 16.9%4
• Escherichia Coli 11.8%4
• Enterococcus faecium 11.4%4
EFFECTS OF CLABSI IN
HOSPITAL SETTING
Leads to excess hospital length of stay of 24 days5

Increases the development of sepsis6

Up to 35% attributable mortality5

CURRENT REMOVAL OF
CENTRAL LINE PROCEDURE7
A. Pre-treatment evaluation

B. Set up necessary supplies

C. Patient Preparation

D. Procedure performed by Advanced Health Practitioner

E. Post-procedure

F. Follow-up treatment
 8

• Objective: Decrease occurrences of hospital acquired CLABSI

• Prediction: CLABSI occurrence will reduce by 10%
• Education, Training, Feedback, Clinical reminders,
• Bundle checklist
DO8

• Carry out plan

• Document observations
• Record Data
STUDY 8

• Analyze Data
• What did the study find?
• Was the education sufficient?
• Feedback
ACT 8

• What Changes are to be made?

REFERENCES
1. The Joint Commission. (n.d.). Do No Harm - Prevent Central Line-Associated Bloodstream Infections.
Retrieved November 07, 2018, from
https://www.jointcommission.org/assets/1/6/CLABSI_infographic_final.pdf
2. Haddadin Y, Regunath H. Central Line Associated Blood Stream Infections (CLABSI) [Updated 2018 Sep
30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK430891/
3. How-to Guide: Prevent Central Line-Associated Bloodstream Infections (CLABSI). Cambridge, MA:
Institute for Healthcare Improvement; 2012. (Available at www.ihi.org)
4. See, I., Freifeld, A. G., & Magill, S. S. (2016). Causative Organisms and Associated Antimicrobial
Resistance in Healthcare-Associated, Central Line–Associated Bloodstream Infections From Oncology
Settings, 2009–2012. Clinical Infectious Diseases, 62(10), 1203-1209. doi:10.1093/cid/ciw113
REFERENCES
5. Patel, P. R., Kallen, A. J., & Arduino, M. J. (2010). Epidemiology, Surveillance, and Prevention of
Bloodstream Infections in Hemodialysis Patients. American Journal of Kidney Diseases, 56(3), 566-
577. doi:10.1053/j.ajkd.2010.02.352
6. Warren, P., MSN, RN, CCRN. (2012). A Multi-pronged Approach to Decreasing Central Line Associate
Blood stream Infections. Retrieved November 07, 2018, from
https://www.ihconline.org/media/cms/A_Mulit-
Pronged_Approach_to_Decreasing_Central_Line_Blood_Stream_Infections_-_Peggy_Warren.pdf.
7. UC San Diego Health. (n.d.). STANDARDIZED PROCEDURE FOR CENTRAL LINE REMOVAL (Adult, Peds).
Retrieved November 08, 2018, from https://health.ucsd.edu/medinfo/medical-
staff/application/Documents/SP73 Central Line Removal (Adult, Peds).pdf
8. Perin, D. C., Erdmann, A. L., Higashi, G. D., & Sasso, G. T. (2016). Evidence-based measures to prevent
central line-associated bloodstream infections: a systematic review. Revista latino- americana de
enfermagem, 24, e2787. doi:10.1590/1518-8345.1233.2787