Preventing central-line-associated bloodstream infections in pediatric specialized care units: A case study of successful quality improvement

摘要: Abstract Central line associated bloodstream infections in pediatric intensive care units extend the unit length of stay and increase cost hospitalization. These infections, once thought to be an accepted complication central vascular access, are now known preventable. Despite using hand hygiene, full barrier protection, proper skin disinfection with 70% isopropyl alcohol/20% chlorhexidine gluconate for venous catheter insertion, our infection rate remained high. We instituted a new practice involving scrubbing hub performing dressing changes combined cardiac unit. removed alternative products from bedside thereby making it easier staff follow procedure reducing need training monitoring. This change reduced 7.1 episodes per 1000 days 1.5 days. describe barriers we encountered instituting this change, evaluating impact limited resources, eventually implementing other system-wide. The most commonly obstacle was not lack but insistence by medical that incidence these result differences patient populations compliance standardized procedure.