ArticlePDF Available

Four year surveillance of central line-associated bloodstream infection (CLABSI) in neonatal intensive care unit (NICU)

Authors:

Abstract

From 2007-11 surveillance for CLABSI was performed in our tertiary level, 26 bed NICU. As CLABSI is a preventable nosocomial infection, we are reporting the impact of introducing a Peripherally Inserted Central Catheter (PICC) interprofessional team, dedicated to implement a prevention bundle for CLABSI since 2007.
ORAL PRESENTATION Open Access
Four year surveillance of central line-associated
bloodstream infection (CLABSI) in neonatal
intensive care unit (NICU)
A Décary
*
, R Mandel, R Rodrigues, C Frenette, B Lussier
From International Conference on Prevention & Infection Control (ICPIC 2011)
Geneva, Switzerland. 29 June 2 July 2011
Introduction / objectives
From 2007-11 surveillance for CLABSI was performed
in our terti ary level, 26 bed NICU. As CLABSI is a pre-
ventable nosocomial infection, we are reporting the
impact of introducing a Peripherally Inserted Central
Catheter (PICC) interprofessional team, d edicated to
implement a prevention bundle for CLABSI since 2007.
Methods
All laboratory confirmed blood cultures from the NICU
were evaluated to determine CLABSI using the National
Healthcare Safety Network (NHSN) definition prior and
after 2008.The PICC team a re specific bedside nurses
trained to insert, monit or insertion site and line
removal. They use age/weight specific skin antiseptics
(2%CHG,0.5%and2%CHGin70%alcohol)with
designated equipment. Bedside nurses access infusion
lines for administering medication, total parenteral
nutrition and changing the line/connectors.
Results
Over the past 4 years (200711) there were 37 CLABSI
using the old NHSN definition versus 22 CLABSI with
the new definition. The infection rate was 5.97 /1000
Catheter Days (CD) and 3.55/1000 CD respectively. The
ove rall cat heter utilization ratio was 0.20.The most pre-
valent microorganisms recovered were Coagulase-n ega-
tive Staphylococci (71%) followed by Candida,
Enterobacter and Klebsiellaspecies (6% each).There were
two associated CLABSI mortalities within 30 days. Rates
of CLABSI decre ased from 8.1 to 3.71 using old defini-
tion and from 4.7 to 1.06 per 1000 CD using new
definition 2007-08 to 2010-11.Catheter utilization ratio
increased from 0.19 to 0.24.
Conclusion
Implementation of a dedicated in terprofessional P ICC
Team and a prevention bundle was successful in
decreasing rates of CLABSI in the NICU. The change in
definition considerably affects the rates of CLABSI
(-41%).
Disclosure of interest
None declared.
Published: 29 June 2011
doi:10.1186/1753-6561-5-S6-O8
Cite this article as: Décary et al.: Four year surveillance of central line-
associated bloodstream infection (CLABSI) in neonatal intensive care
unit (NICU). BMC Proceedings 2011 5(Suppl 6):O8.
Submit your next manuscript to BioMed Central
and take full advantage of:
Convenient online submission
Thorough peer review
No space constraints or color figure charges
Immediate publication on acceptance
Inclusion in PubMed, CAS, Scopus and Google Scholar
Research which is freely available for redistribution
Submit your manuscript at
www.biomedcentral.com/submit
Infection Control, McGill University Health Center, Montreal, Canada
Décary et al. BMC Proceedings 2011, 5(Suppl 6):O8
http://www.biomedcentral.com/1753-6561/5/S6/O8
© 2011 Décary et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons
Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in
any med ium, provided the origin al work is properly cited.
ResearchGate has not been able to resolve any citations for this publication.
ResearchGate has not been able to resolve any references for this publication.