Central Line Associated Bloodstream Infections Case Study

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A1/A1a. Problem/ Explain
The identifying problem is Decreasing Central Line Bloodstream Infections in the Acute Care Setting by the Use of Multimodal Disinfectant Protocols. Collaboration was initiated with the assistance of the Hospital Chairperson of the Practice Council to initiate change in practice.

Central Line Associated Bloodstream Infections (CLASBI) can result in financial burden and/or morbidity in the acute care setting. The financial burden associated with treating Central Line Associated Bloodstream Infections (CLASBI) in the acute care setting of one average adult patient is estimated to cost: $5,000-$125,000 per episode. Central Line Associated Bloodstream Infections (CLASBI) are an area within the Healthcare field that is continuously in need of preventive measures. The multiple drug resistant strain of germs is a contributor to the already immunocompromised patient requiring a central line. Although central lines have been around since the 1970’s it wasn’t until the late 1980-2000, research began tracking and recording Central Line Associated Bloodstream Infections (CLASBI). At this time, the most frequent germs observed for central line infections was coagulase-negative staphylococci and Staphylococcus aureus for a total of 43% in the 1980’s. As of today, these germs combined represent >50% of all Central
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A. (2016), a combination of disinfection protocols are the key to not only decreasing Central Line Associated Bloodstream Infections (CLASBI) but eliminating them. At the Hospital Practice Council the subject of decreasing central line infections throughout the hospital was agreed to be addressed. At present, our hospital wide central lines infection rate is 21%. An analysis of the critical care units central lines and their infection/no infections would be address next meeting. Decreasing central line infections became a unanimous vote during the Hospital Practice council

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