Catheter Associated Bloodstream Infection Essay

830 words - 3 pages

Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500 to 4,000 patient die due to blood stream infection (CDC, 2002). Approximately 90 percent of blood stream infection occurs from central venous insertion (CVC). Even though CRBSI occurs from different ways, the most common source is contamination of the catheter by skin flora on insertion, skin flora contaminating the external catheter, hub or both. In pediatric and neonatal ICUs, CRBSIs vary from 3.8 to 11.3 per thousand catheter days and account for around 30% of all nosocomial infections (Kim & Sandra, 2009). These statistics make preventing central venous catheter related bloodstream infections extremely important. Also, effective October 1, 2008, the Centers for Medicare and Medicaid Services have stopped reimbursing hospitals for conditions that have evidence-based prevention guidelines, which includes catheter-related bloodstream infections Center for Medicaid & Medicare service, ( n.d.).
CRBSIs could lead to result in additional therapy and prolonged hospital stay. However, these vascular access devices are essential aspects of neonatal care for administer intravenous fluid and medication. Nurses perform much of the daily care of central venous catheters. Therefore, nurses play an integral role in preventing bloodstream infections. As CDC recommend, changing form standard practice to evidence based practice guidelines can decrease catheter related infection and increase patient care outcome. Research support use of central line bundle as one of the best evidence based intervention to reduce CRBSI (Institute of health care improvement, 2010.).
Central line bundle is a group of evidence-based practice strategy for patient with central catheters, when implemented together, produce better outcomes than implemented individually (Institute of health care improvement, 2010.). The main elements of central line bundle are hand hygiene, maximal barrier precaution upon insertion, Chlorhexidine skin antisepsis, optimal catheter selection, and daily review of line necessity with prompt removal of unnecessary lines Aseptic technique when using and caring for a central line catheter can decrease the chance of contamination in this critically ill infants. Staff education on adherence to aseptic technique and strict central line care guidelines are essential to decreasing bloodstream infections.
The purpose of this author for this project is to analyze current literature reviews to establish a firm basis to implement evidence based central line bundle intervention to decrease catheter related blood stream...

Find Another Essay On Catheter Associated Bloodstream Infection

Health Associated Infections Essay

1764 words - 7 pages of central line dressing changes, valve disinfectant use, and port access. The results were a total of seven central line associated bloodstream infections occurred over the five years being studied. The average annual infection rate per one thousand catheter line days declined from 1.068 to 0.849 to 0.508 to 0.449 to 0.000. The full three year simple average from 2009 to 2011, after all of the interventions were phased-in, was 30.48%. The

Organizational Change Essay

1729 words - 7 pages tearing tape to secure IV catheters, thus protecting nurses and physicians from blood borne pathogens. This can save the healthcare facility money by reducing the cost of IV materials associated with IV restarts. It is less expensive to prevent needlesticks than treat them. The CDC has recently acknowledged that StatLock is superior to suture in reducing catheter-related blood stream infection, OSHA and the U.S. Congress have recognized StatLock as a

Important Steps in the Quality Improvement Process: Central Line Insertion

1453 words - 6 pages catheter-related infection. American Jouranl of Infection Control, 32, 142-146. Orto, V., & Greene, L. R. (2006). Beyond the ICU: nursing’s role in decreasing central venous CR-BSIs. Retrieved June 10, 2010, from www.nursingmangement.com Posa, P. J., Harrison, D., & Vollman, K. M. (2006). Elimination of central line-associated bloodstream infections. Advanced Critical care, 17, 446-454. Shuman, E. K., Washer, L. L., Arndt, J. L., Zalewski, C. A

Article Analysis: Infection Control in Home Care

1171 words - 5 pages and projects accomplished by the professionals and health care agencies. The researcher has selected five problems and infections to collect the clinical data and evaluate the particular test and practices for the caring of the home patients. The five selected infections are:  Catheter-related UTI  Postoperative pneumonia  Catheter-related bloodstream  Skin and soft tissue infection  Endometritis in postpartum With the help of case

The National Patient Safety Goals Are Effective

1610 words - 6 pages - associated urinary tract infections, surgical site infections, and central venous catheter-related bloodstream infections. For any infection, the most common preventative measure is proper hand hygiene. In the hospital, healthcare workers are required to wash their hands before and after contact with patients. To reinforce the importance of hand hygiene in the hospital antibacterial hand sanitizer dispensers are placed throughout the hospital

Uses of Statistical Information

1007 words - 4 pages information in regard to CVCs is for the prevention of catheter-related bloodstream infections. Approximately 95% percent of clients in the ICU have CVCs in place and are potential candidates for catheter- related bloodstream infections (S. Peaks, personal communication, June 8 and 9, 2006).There are five components to the central line bundle:1."Hand hygiene2.Maximal barrier precautions3.Chlorhexidine skin antisepsis4.Optimal catheter site

Healthcare-associated infections

1785 words - 7 pages facility or a hospital are usually seen with pneumonia, urinary tract infections, bloodstream infections, surgical site infections, and respiratory infections. Occasionally, healthcare-associated infections can be seen in other types of infections as well (Daud-Gallotti et al., 2012). “Urinary tract infection (UTI) is the most frequent healthcare-associated infection in the United States (US). Although bloodstream infection (BSI) secondary to

Urinary Tract Infections Using Indwelling Urethral Catheters

1075 words - 5 pages step to reduce catheter associated urinary tract infections and other complications is to avoid unnecessary catheterization; and the second step would be to remove any type of catheter as soon as possible to prevent infections (Niel-Weise & Van den Broek, 2009). In this systematic review, randomized and quasi-randomized trials were the type of studies used. In which they compared different approaches to short-term suprapubic and indwelling

Infection control and universal precautions, A nursing perspective.

2078 words - 8 pages will now examine urinary tract infections (UTI) that are the most common of all HAI's.UTI's arise where there is an infection of the urinary tract. They tend to be more common amongst women as they have shorter urethras. In the CDC's Guideline for Prevention of Catheter-associated Urinary Tract Infections they state that the rate of infection from UTI's is more than 40% and 66%-86% of these infections are as a direct result of catheterization

Proteus Mirabilis

727 words - 3 pages frequency of urination and pyuria. Pyelonephritis (kidney infection) can occur when the bacteria migrates from the lower urinary tract. Although it is seen as a furtherance of infections, not all patients have the symptoms associated with urethritis and cystitis. Pyelonephritis is marked by nausea and vomiting. Proteus mirabilis can enter the bloodstream through wounds. This happens with contact between the wound and an infected surface

Healthcare Associated Infections (HAIs)

2217 words - 9 pages protect the public from harm (Bailey & Ries, 2005, p.140). According to healthypeople.gov, nearly 3 our of every 4 HAIs in the acute care hospital setting are a result of 1 of the following 4 categories of infection, listed in order of prevalence: Catheter-associated urinary tract infections, surgical site infections, bloodstream infections, and pneumonia ("Healthcare-Associated Infections - Healthy People", n.d., p.1). Due to these preventable

Similar Essays

Clinical Guidelines On The Prevention Of Catheter Related Bloodstream Infections

4563 words - 18 pages -1598. Btaiche, I. F., Kovacevich, D. S., Khalidi, N., & Papke, L. F. (2011). The effects of needleless connectors on catheter-related bloodstream infections. American journal of infection control, 39(4), 277-283. doi: 10.1016/j.ajic.2010.07.011 Centers for Disease Control and Prevention. (2012). Central Line-Associated Bloodstream Infection (CLABSI) Event Retrieved April 10, 2012, from http://www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf

Urethral Catheters Essay

1503 words - 6 pages clinical decisions to either continue or discontinue indwelling urethral catheters. Conclusion Urethral catheterization in the older population should be considered as a last option because it can lead to catheter-associated bacteriuria, bloodstream infection, sepsis and death. It should not be used for staff convenience, or to manage urinary incontinence manageable by other means. CAB is a condition that can be prevented with the application

Nursing Theories And Nursing Practice Essay

2083 words - 8 pages improved practice. Overall, reduction in the occurrence of CAUTIs will result in higher quality management and better patient outcomes. Catheter-Associated-Urinary-Tract-Infections During hospitalization for other conditions within ones health, healthcare-associated-infections (HAIs) develop. According to Stone (2009), they are the fifth leading cause of death in United States acute-care facilities. Most common infection that accounts for 32% of

Preventing Catheter Related Bloodstream Infections In Intensive Care Units

2274 words - 9 pages occurrence of catheter-related bloodstream infections, saving lives and saving money (Hu et al., 2004). Works Cited Aly, H., Herson, V., Duncan, A., Herr, J., Bender, J., Patel, K., & El-Mohandes, A. A. E. (2005). Is bloodstream infection preventable among premature infants? A tale of two cities. Pediatrics, 115(6), 1513-1518. Hu, K. K., Veenstra, D. L., Lipsky, B. A., & Saint, S. (2004). Use of maximal sterile barriers during central venous