|
KMID : 1147420210060010020
|
|
Journal of Surgical Infection
2021 Volume.6 No. 1 p.20 ~ p.27
|
|
|
Decreasing Central Line-Associated Blood Stream Infection in an Intensive Care Unit through Quality Improvement
|
|
Kim Eun-Ji
Lee Yu-Jin
Jeong Su-Jin
Yun Hye-Young
|
|
|
Abstract
|
|
|
Objectives: This study aimed to decrease the incidence of central line-associated blood stream infection (CLABSI) in an intensive care unit through quality improvement.
Methods: Quality improvement activities were performed for 7 months to reduce CLABSI rate. Data including the hand washing performance rate, disinfection performance rate before 3-way use, maximal barrier precaution (MBP) performance rate at the time of central line insertion, and suitability of the central line insertion site dressing were collected through direct monitoring. The CLABSI rate was measured through medical records.
Results: The average hand washing performance rate was 97.9%, the disinfection performance rate before 3-way use was 90.7%, the MBP performance rate was 98.4%, and suitability of the central line insertion site dressing was 90.1%. From May to November, there were 2,696 total central line insertion days and eight CLABSI cases. As a result, the CLABSI rate was 2.97. Among the eight total cases, five met the mucosal barrier injury-laboratory confirmed bloodstream infection (MBI-LCBI) criteria.
Conclusion: The results of this study showed that effort is needed to develop and apply CLABSI prevention activities according to the characteristics of each intensive care unit.
|
|
|
KEYWORD
|
|
|
Catheter-related infections, Central venous catheter, Intensive care units, Quality improvement
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|