Symptoms And Treatment Of Central Lines

Catheter related bloodstream infections are not only responsible for prolonged hospital stays and increased hospital costs, it is also responsible for increased mortality of the hospitalized patients. According to Centers for Disease Control and Prevention (2017), an estimate of 30,100 central line-associated bloodstream infections (CLABSI) occur in intensive care units and wards of U.S. acute care facilities each year. CLABSI is a serious hospital-acquired infection that occurs when bacteria enters the bloodstream through central venous catheters. CLABSI is preventable as long as health-care personnel practice aseptic techniques when working with the catheter. A blood culture swabbed from the tip of the catheter is needed to confirm the

1) Summary of Article: Indwelling catheter use is common, but so are infections associated with them. About 80 percent of all urinary tract infections in hospitals are caused by catheters, and about 20 percent of all hospital infections total are UTIs. Evidence-based practice should be used for insertion, maintenance, and removal. Catheters should not be left in longer than they need to be. Unfortunately, this research shows poor administrative efforts are to blame for

Getting an infection from improper care during or after insertion of a central line is the last thing you want to get while in the hospital. This paper will discuss Kaiser Permanente’s policy on central venous catheter, also known as a central line, care and dressing change, and whether it follows the current evidence-based practice on preventing bloodstream infection in patients who have them inserted. I will explain about what a central line is, why evidence-based practice is important in the clinical setting, what Kaiser Permanente’s policy about central line care and dressing change is, if Kaiser is currently following evidence-based practice based on current articles about preventing central line associated bloodstream infections (CLABSIs), and what my role in using evidence-based practice is as a future registered nurse.

Usage of indwelling urinary catheters in critically ill patients can seem to be a permanent fixture in intensive care units. Most critical care nurse expect their patients to have an indwelling urinary catheter (IUC) in place without much regard to the risk of catheter associated urinary tract infections (CAUTI) or the ability to implement IUC alternatives. Critical care patients may require IUC usage due to diagnosis, need for accurate hourly intake and output measurements, or other specified documented reasons. The risk of acquiring a catheter associated urinary tract infections is a result of IUC usage. The Centers for Disease Control and Prevention’s Guideline for Prevention of Catheter-associated

Article by Clancy (2009) explained central lines were a result of an estimated 250,000 blood stream infections and accounted for 30,000 to 62,000 patient deaths, then adding that each infection cost upwards of $36,000 and cumulatively add up to at least $9 billion in preventable costs annually. The article also explains how the mindset has changed from the cost of having a central line in place and expecting complications to lowering infection rates by an intentional interventional process/s. The article speaks of 5 basic steps to reduce CLABSI, hand washing, insertion techniques, skin cleansing, avoidance of certain sites and earlier removal of the CVC. Studies showed that these guidelines were only followed 62% of the time. The system was changed to ascertain that all the clinicians were in compliance. This prompted 5 interventions, education, a CVC insertion cart with all necessary equipment, physicians having to validate central line necessity, a concise checklist for bedside clinicians and the empower of nurses to stop procedures if guidelines were not followed. These low cost interventions from 11.3/1000 in catheter days in 1998 to zero in the fourth quarter of 2002.

One of the ways to combat the incidence of Central Line Associated Bloodstream Infection (CLABSI) is by following the proper steps in Central Line Dressing changes. The topic you picked is an important one, both for patients and our overall health care system as well. If nurses will learn, and follow the proper manner in the way Central Venous Lines should be changed it can have a positive outcome for patients. CLABSI can be fatal to the patient, this can devastate the patient's family as well. “Although a 46% decrease in CLABSIs has occurred in hospitals across the U.S. from 2008-2013, an estimated 30,100 central line-associated bloodstream infections (CLABSI) still occur in intensive care units and wards of U.S. acute care facilities each

The perception then coming from that patient is that, they are at peace that they will not have to worry about “catching” another infection. Additionally, the nurse manager, supervisors and educators on the unit stress the use of these caps. These formal leaders on our floor are content to have seen the rates of CLABSI decline, and the last time they floor has seen as CLASBI was this past March. Subsequently, the nurses on the unit are all compliant with the use of the Curos™ cap. As they do not want to see their patients suffer any more than they already are, and the use of this intervention is fast and the results are great.

Healthcare-associated infections from invasive medical devices are linked to high morbidity, mortality, and costs worldwide. Especially in central line–associated bloodstream infection (CLABSI) or catheter-related bloodstream infection (CRBSI) and

Critically ill neonates are at high risk for CRBSIs. Blood stream infections can occur from different point of entry, the most common source is contamination of the catheter by skin flora on insertion, skin flora contaminating the external catheter, hub or both. Implementing evidence based

There is an abundance of information identifying central line acquired bloodstream infection (CLABSI) as a serious adverse event during hospitalization resulting in increased morbidity, mortality, and health care cost. Present data from research indicates that CLABSI is the second most avoidable cause of death during hospitalization (Shah, Schwartz, & Cullen, 2016). The above concepts that CLABSI is preventable yet it continues to yield a yearly cost of 2.3 billion dollars and remains a quality metric for national offices such as Joint Commission indicates a foundation for research (Son et al., 2012). Upon the literature review, CLABSI rates were significantly reduced when specific techniques were implemented. Furthermore, all the articles

The US Centers for Disease Control and Prevention’s (CDC’s) and National Healthcare Safety Network (NHSN) associate this term with a bloodstream infection that occurs within 48 hours of a centrally placed catheter that cannot be attributed to infection from another source (Joint Commission, 2012, p. v). There are approximately 80,000 cases if CLASBI reported in intensive care units in the United States each year (Joint Commission, 2012, p. viii). These statistics include infants in the NICU. In one study conducted from January 2007 to September 2012, there were 2615 reported CLABSI events in NICU’s (Patrick, Kawai, Kleinman, Vaz, Gay, & Lee, 2014, p.

Health care-associated infection (HAI), are infections an individual may acquire while they are receiving treatment for another condition within a health care facility. Catheter-associated urinary tract infections (CAUTI) remain the most commonly reported hospital-acquired condition, and the rates continue to rise. Approximately 600,000 patients develop CAUTI each year, leading to increased health care cost, longer hospital stays, and increased morbidity and mortality rates. Furthermore, multiple studies have shown that urinary catheters are placed in patients who do not have an appropriate indication for catheter placement. In order to improve the quality of care and patient safety in our hospitals, CAUTI has become one of the CMS quality

As mentioned above, there are a multitude of practices that are practice to decrease the prevalence of central line associated blood stream infections. To prevent central line associated bloodstream infections there are several steps before and during the insertion process as well as after the insertion of the line to decrease the risk of developing an infection. To begin with, it is important to avoid using the femoral vein for central venous catheter insertion is possible (Hsu, 2014). Avoiding the femoral vein is important because it is consider a dirty area of the body; therefore, the preferred site for the insertion of these lines is the subclavian vein because it is considered the area that is least likely to be infected. Furthermore,

Catheter related blood stream infection is very common to patients receiving haemodialysis treatment. Although catheters provide vascular access, they put the patients at risk for developing local and systemic infections. Dialysis CRBSI can be obtained during insertion in the operating theatre and handling of the catheter by the health care team post insertion. Causes include improper technique in hand washing, breaking principles of aseptic technique when managing catheters and contaminated supplies. It is quite tough to describe and to put a figure on the occurrence of dialysis CRBSI despite the presence of standardised procedures in every institution. One more concern would be the systems for reporting cases of CRBSI among dialysis

The author of the article provided the reader with good background information. There are statistics on how much central line infections decreased from 2001 to 2009 among ICU patients. In comparison, the author also provided statistics on CLABSI’s in acute care hospitals, which keep remaining high. CDC, Joint Commission, as well as the Center for Medicare and Medicaid Services goal of reducing the incidents of CLABSI was brought to the reader attention. The author acknowledged that there is a gap in the research about the possible strategies to reduce CLABSI rates outside of CCU. Although, there is no available research on current practices/ strategies that are being implemented in order to reduce CLABSI. Only one provided example is the study hospital.