Reducing central line-associated bloodstream infection in contaminated central venous catheters: Case studies of a pediatric contamination guideline

Tracy B. Chamblee, Lindsey J. Patton, Virginia B. Young, Jennifer Marusich, Cindy D. Bowens, Darryl K. Miles

Research output: Contribution to journalArticlepeer-review

Abstract

Healthcare organizations have prioritized patient safety and quality improvement efforts to reduce central line-associated bloodstream infections (CLABSIs). Implementation of central venous catheter (CVC) insertion and maintenance bundles have significantly reduced infection rates. Nevertheless, CLABSIs continue to be a significant cause of mortality and morbidity in hospitals, and further efforts are necessary to improve CVC care practices. A hospital-wide committee at a tertiary care pediatric hospital identified gaps in our CVC maintenance practices resulting from CVC contamination events from a patient's body fluids. A lack of published literature on the topic resulted in the need to create an institutional clinical practice guideline (CPG) to develop guidance to mitigate potential CLASBIs from CVC contamination. Utilization of the CVC CPG in all inpatient units and other reduction strategies resulted in a steady decline in our CLABSI rates, particularly in those related to CVC contamination events. Case reports illustrate the effectiveness of the CPG.

Original languageEnglish (US)
Pages (from-to)S24-S29
JournalBritish Journal of Nursing
Volume30
Issue number19
DOIs
StatePublished - Oct 28 2021

Keywords

  • Central line-associated bloodstream infection
  • Central venous catheter
  • Central venous catheter contamination
  • Pediatric

ASJC Scopus subject areas

  • Nursing(all)

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