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CLABSi Prevention
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CLABSI
Prevention
DEFINITION
DEFINITION
A central line-associated bloodstream infection (CLABSI) is defined as a laboratory-confirmed bloodstream infection that is not related to an infection at another body site.
(Haddadin et al., 2020).
IMPACT
24,666 CLABSI's (2018)
Increased Mobidity & Mortality
Increased Mortality
Death rates
Prolonged Hospital Stays
Increased Health Care Costs
Increased Healthcare Costs
Estimated cost is $48,108
(Agency for Healthcare Research and Quality, 2017)
RMCSJ
CHAIN OF INFECTION
CHAIN OF INFECTION
Infectious Agent
Reservoir
Port of Exit & Port of Entry
Mode of Transmission
Susceptible host
PREVENTION
PREVENTION
HAND HYGIENE
- Before and after accessing or dressing the CVC
HAND HYGIENE
CVC Dressing Regimen
CVC DRESSING REGIMEN
- Use Tegaderm CHG dressing to cover the catheter site
- Replace the dressing if the dressing becomes damp, loosened or visibly soiled.
- Replace dressing no more than once a week unless they are soiled or loose.
Patient Cleansing
- Bathe the patient daily with 2% Chlorhexidine
PATIENT Cleansing
ADMINISTRATION SET REPLACEMENT
- Replace IV administration sets (that are continually used) no more than every 96 hours or at least every 7 days.
- Replace tubing used to administer blood/blood products or fat emulsions within 24 hours of initiating the infusion.
- Replace tubing used to administer Propofol every 6-12 hours (when the vial is changed).
#SCRUBTHEHUB
- Perform hand hygiene. Don clean or sterile gloves.
- Scrub the hub with an alcohol prep pad for 10 to 15 seconds generating friction by scrubbing in a twisting motion. Use one prep pad per hub.
- Allow the hub to dry. Prevent it from touching anything while drying.
- Access the stopcock or injection port only with sterile devices.
- Discard gloves and perform hand hygiene.
SCRUB THE HUB
http://www.jointcommission.org/CLABSIToolkit
REFERENCES
Haddadin Y, Annamaraju P, Regunath H. Central Line Associated Blood Stream Infections. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430891/
The Joint Commission. Preventing Central Line–Associated Bloodstream Infections: Useful
Tools, An International Perspective. Nov 20, 2013. Accessed [user please fill in access date]. http://www.jointcommission.org/CLABSIToolkit