Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

CLABSI prevention efforts result in up to 200,000 infections prevented in intensive care units

14.05.2013
New research from the Centers for Disease Control and Prevention (CDC) estimates that as many as 200,000 central line-associated bloodstream infections (CLABSIs) have been prevented among patients in intensive care units (ICUs) since 1990.

The study, published in the June issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, suggests that this progress is likely related to prevention strategies now common in hospitals across the United States.

CLABSIs are caused when bacteria or yeast enter the bloodstream through a tube called a central line that is placed in a large vein in a patient's neck or chest to give medical treatment. Central lines are commonly used in ICUs and can remain in place for weeks or months. When not put in correctly or kept clean, central lines can become a route for germs to enter the body and cause serious bloodstream infections. CLABSIs result in thousands of deaths and significant excess costs to the U.S. healthcare system, yet research shows that these infections are preventable.

Substantial progress has been made over the past two decades in reducing the number of CLABSIs that occur among patients in ICUs in the U.S. This study, which estimated between 462,000 and 636,000 CLABSIs occurred in non-neonatal ICU patients during 1990-2010, found that reductions in CLABSI rates led to between 104,000 and 198,000 fewer CLABSIs than would have occurred if rates had stayed the same as they were in 1990.

"These findings suggest that technical innovations and dissemination of evidence-based CLABSI prevention practices have likely been effective on a national scale," said Matthew Wise, PhD, lead author of the study. "These successes help bolster perceptions that healthcare-associated infections are preventable."

New technologies have been developed over time to prevent healthcare-associated infections in general and CLABSIs specifically. CDC guidelines have promoted better central line insertion and maintenance practices. Infection control bundles, which are groups of prevention practices that are put into place at the same time and use collaborative networks of healthcare organizations to educate providers about best practices, have been used to improve adherence to recommended practices.

Cultural change and the transformation in behaviors of healthcare workers significantly affect the reduction in healthcare-associated infections, as seen in the 2006 Michigan Keystone Project. The project implemented five evidence-based preventive strategies recommended by the CDC and focused on changing provider behavior through addressing safety culture, incorporating a centralized education program for team leaders at each institution, and closely collaborating with infection control personnel. The intervention was extremely successful, nearly eliminating CLASBIs in more than 100 ICUs.

Despite apparent success, this study estimated that about 15,000 CLABSIs still occurred in ICUs during 2010. Seventy percent of these infections occurred in teaching hospitals with more than 200 beds. The concentration of CLABSIs among ICU patients in medium and large teaching hospitals suggests that a targeted approach may be needed to continue reducing CLABSIs among ICU patients nationally.

In a commentary published alongside the study, several limitations of this research were also noted, including the use of definitions by CDC for purposes for which they were not originally designed, the idea that every CLABSI is preventable, and the possibility that zero infections may not be an achievable goal in all circumstances.

However, Eli Perencevich, MD, and colleagues stated that "this is encouraging news.... Anyone who has spent the past 10-20 years as an infection preventionists or hospital epidemiologist can attest to how evidence-based methods and cultural change have had a real and lasting impact on infection rates." As improved prevention efforts are identified for healthcare-associated infections, including central line associated bloodstream infections, SHEA and CDC will continue to work together to improve the National Healthcare Safety Network to meet the challenges ahead.

Matthew E. Wise, R. Douglas Scott II, James M. Baggs, Jonathan R. Edwards, Katherine D. Ellingson, Scott K. Fridkin, L. Clifford McDonald, John A. Jernigan. "National Estimates of Central Line–Associated Bloodstream Infections in Critical Care Patients." Infection Control and Hospital Epidemiology 34:6 (June 2013).

Published through a partnership between the Society for Healthcare Epidemiology of America and The University of Chicago Press, Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or epidemiology program in a hospital or healthcare facility. ICHE is ranked 15 out of 140 journals in its discipline in the latest Journal Citation Reports from Thomson Reuters.

SHEA is a professional society representing more than 2,000 physicians and other healthcare professionals around the world with expertise in healthcare epidemiology and infection prevention and control. SHEA's mission is to prevent and control healthcare-associated infections and advance the field of healthcare epidemiology. The society leads this field by promoting science and research and providing high-quality education and training in epidemiologic methods and prevention strategies. SHEA upholds the value and critical contributions of healthcare epidemiology to improving patient care and healthcare worker safety in all healthcare settings. Visit SHEA online at http://www.shea-online.org, http://www.facebook.com/SHEApreventingHAIs and @SHEA_Epi.

Tamara Moore | EurekAlert!
Further information:
http://www.shea-online.org

More articles from Health and Medicine:

nachricht A promising target for kidney fibrosis
21.04.2017 | Brigham and Women's Hospital

nachricht Stem cell transplants: activating signal paths may protect from graft-versus-host disease
20.04.2017 | Technische Universität München

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Making lightweight construction suitable for series production

More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.

Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...

Im Focus: Wonder material? Novel nanotube structure strengthens thin films for flexible electronics

Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.

"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...

Im Focus: Deep inside Galaxy M87

The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.

Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...

Im Focus: A Quantum Low Pass for Photons

Physicists in Garching observe novel quantum effect that limits the number of emitted photons.

The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...

Im Focus: Microprocessors based on a layer of just three atoms

Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.

Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Expert meeting “Health Business Connect” will connect international medical technology companies

20.04.2017 | Event News

Wenn der Computer das Gehirn austrickst

18.04.2017 | Event News

7th International Conference on Crystalline Silicon Photovoltaics in Freiburg on April 3-5, 2017

03.04.2017 | Event News

 
Latest News

DGIST develops 20 times faster biosensor

24.04.2017 | Physics and Astronomy

Nanoimprinted hyperlens array: Paving the way for practical super-resolution imaging

24.04.2017 | Materials Sciences

Atomic-level motion may drive bacteria's ability to evade immune system defenses

24.04.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>