CATHETER-RELATED BLOODSTREAM INFECTION RATES DECREASE TO ZE by dcc48652

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									       CATHETER-RELATED BLOODSTREAM INFECTION RATES DECREASE TO ZERO IN THE ICU
             AFTER IMPLEMENTING A CLOSED LUER ACCESS SPLIT-SEPTUM DEVICE
                          Kari L. Love, RN BS, Clinical Quality and Infection Prevention, Jennie Edmundson Hospital

Background: The purpose of this study                                 Methods: A retrospective review of infection rates                                             Results: The median rate of catheter-
was to evaluate the effectiveness of a                                ten months prior to implementation were measured                                                                                                                         Triple Lumen with
                                                                                                                                                                     related bloodstream infection per                                           BD Q-Syte TM
closed luer access, split-septum device                               against infection rates up to eight months after                                               1,000 catheter-days decreased from
for the reduction of central venous                                   implementation of the study intervention. Rates of                                             3.045 infections at baseline to 0 at 3,
catheter-associated bloodstream                                       infection per 1,000 catheter-days were measured at                                             6 and 8 months after implementation
infections in an Adult Medical-ICU                                    monthly intervals, according to the guidelines of
                                                                                                                                                                     of the study intervention. The mean
population. The closed luer access/split-                             the National Healthcare Safety Network (NHSN).
                                                                                                                                                                     rate per 1,000 catheter-days
                                                                      The current analysis includes 18 months of data
septum device replaced a positive-                                                                                                                                   decreased from 3.148 at baseline to 0
                                                                      and 1,405 catheter-days.
pressure mechanical valve (PPMV).                                                                                                                                    at eight months of follow-up.



       Conclusion:                                                                                                                  CR-BSI Rate: ICU
  Removing the positive-
pressure mechanical valve                                                  6                                                                                                                                                                      BD Q-Syte TM
                                                                                                                                                             5.63
(PPMV) and a replacing it
                                                                                                                                                  5.56
with a closed luer access,                                                 5
                                                                                                                                                                    4.79
                                            Rate per 1,000 catheter days




    split-septum device
  resulted in a significant                                                4
decrease in infection rates                                                      3.74

      from baseline.                                                       3
                                                                                           3.2
                                                                                                                                 2.89

  The closed luer access,                                                  2
    split-septum device                                                                              1.7
                                                                                                                        1.47
 significantly reduces the                                                 1
                                                                                                             1.4                                                           1.1
 rate of (CVC)-associated
                                                                                                                                                                                 0   0      0         0         0        0        0
 bloodstream infections in                                                 0
                                                                                                                                                                                                                                                Kari L Love RN, BS
                                                                                                                                                                                                                                                 Clinical Quality &
   an Adult Medical-ICU
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                                                                                                                                                                                                                                            Jennie Edmundson Hospital
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                                                                                                                                                                                                                                              Kari.Love@NMHS.org
MISC5015                                                                                                                                                    Month

								
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