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Am J Infect Control. 2014 Jun;42(6):685-7. doi: 10.1016/j.ajic.2014.02.026.

Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line-associated bloodstream infections.

Author information

1
Infection Prevention and Healthcare Epidemiology Unit, Alfred Health, Melbourne, Australia. Electronic address: g.klintworth@alfred.org.au.
2
Infection Prevention and Healthcare Epidemiology Unit, Alfred Health, Melbourne, Australia.
3
Intensive Care Unit, Alfred Hospital, Melbourne, Australia.
4
Medical Services, Alfred Health, Melbourne, Australia.

Abstract

A multimodal hospital-wide central line-associated bloodstream infection (CLABSI) risk reduction strategy was implemented over a 20-month period at an Australian center. Reduced CLABSI rates were observed in both intensive care units (ICUs) (incidence rate ratio [IRR], 0.39; P < .001) and non-ICU wards (IRR, 0.54; P < .001). The median time to CLABSI onset was 7.5 days for ICU events and 13 days for non-ICU events. The timing of infection demonstrates the need for more careful attention to postinsertion care and access of central venous catheters.

KEYWORDS:

Central venous catheter; Infection prevention; Surveillance

PMID:
24837122
DOI:
10.1016/j.ajic.2014.02.026
[Indexed for MEDLINE]

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