Abstract
Background
Central line–associated bloodstream infections (CLABSIs) are a significant source
of morbidity and mortality. This study sought to determine whether implementation
of the Institute for Healthcare Improvement (IHI) Central Line Bundle would reduce
the incidence of CLABSIs.
Methods
The IHI Central Line Bundle was implemented in a surgical intensive care unit. Patient
demographics and the rate of CLABSIs per 1,000 catheter days were compared between
the pre- and postintervention groups. Contemporaneous infection rates in an adjacent
ICU were measured.
Results
Baseline demographics were similar between the pre- and postintervention groups. The
rate of CLABSIs per catheter days decreased from 19/3,784 to 3/1,870 after implementation
of the IHI Bundle (1.60 vs 5.02 CLABSIs per 1,000 catheter days; rate ratio .32 [.08
to .99, P < .05]). There was no significant change in CLABSIs in the control ICU.
Conclusions
Implementation of the IHI Central Line Bundle reduced the incidence of CLABSIs in
our SICU by 68%, preventing 12 CLABSIs, 2.5 deaths, and saving $198,600 annually.
Keywords
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Article info
Publication history
Published online: January 06, 2014
Received in revised form:
July 27,
2013
Received:
March 8,
2013
Footnotes
There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs.
The authors declare no conflicts of interest.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
