CentralLine-AssociatedBloodstreamInfections(CLABSI)in.pptVIP

Measurement: OutcomeCalculating CLABSI Rates Stratify by: Type of ICU/Other Location For special care areas Catheter type (temporary or permanent) For neonatal intensive care units Birthweight category Catheter type (umbilical or central) # CLABSIs identified # central line-days x 1000 CLABSI Rate* = Measurement: OutcomeDevice Utilization (DU) Ratio CL DU Ratio = # central line-days # patient-days DU Ratio measures the proportion of total patient-days in which central lines were used. Measurement: ProcessCLIP Adherence Rates Using NHSN, adherence rates can be calculated for: Hand hygiene Barrier precautions used including masks, sterile drape, gowns and sterile gloves Skin preparation including type of agent and whether agent was allowed to dry Other measures collected in the NHSN CLIP option that can be summarized include: CL type, location, and number of lumens Antiseptic ointment applied to site  Hand Hygiene Adherence Rate = # hand hygiene performed for CL insertion # CL insertions records completed Adherence rates can also be measured for each of the barrier and prevention practices by using the number of CLIP records completed as the denominator. Measurement: ProcessCalculating CLIP Adherence Rates Tools for ImplementationNHSN CLIP Option: Insertion Practices Evaluation Considerations Assess baseline policies and procedures Areas to consider Surveillance Prevention strategies Measurement Coordinator should track new policies/practices implemented during collaboration References Bleasdale SC, Trick WE, Gonzalez IM, et al. Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit patients. Arch Intern Med 2007; 67:2073-9. Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphyloccus aureus central line-associated bloodstream infections in US intensive care units, 1997-2007. JAMA 2009;301:727-36. CDC. Reduction in central line-associated bloodstream infections among pat