A comprehensive vascular access service can reduce catheter-associated bloodstream infections and promote the appropriate use of vascular access devices - 31/03/20

Doi : 10.1016/j.ajic.2019.08.019

Miguel Martillo, MD ^a,^⁎ , Samson Zarbiv, MD, MPH ^b, Rohit Gupta, MD ^a, Amy Brito, RN ^c, Atinuke Shittu, MBBS, MPH ^d, Roopa Kohli-Seth, MD ^a
^a Department of Surgery, Institute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
^b Department of Medicine, Division of Critical Care Medicine, Cooper University Hospital, Camden, NJ
^c Department of Surgery, Institute for Critical Care Medicine, The Mount Sinai Hospital, New York, NY
^d Department of Surgery, Institute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

^⁎Address correspondence to Miguel Martillo, MD, Department of Surgery, Institute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Pl, New York, NY 10029.Department of SurgeryInstitute for Critical Care MedicineIcahn School of Medicine at Mount Sinai1 Gustave L Levy PlNew YorkNY10029

Highlights

•	We describe the role of a novel vascular access service in decreasing the rate of central line–associated bloodstream infections.
•	The reduction in central line–associated bloodstream infections was achieved by prioritizing insertion of the least invasive intravascular catheter and promoting vascular access device care and maintenance.
•	High-quality research is required to evaluate the impact of vascular access service in improving patient outcomes and safety.

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Résumé

This study describes the role of a novel vascular access service in the reduction and prevention of central line–associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive decline in the CLABSI rate and standardized infection ratio (SIR) in 2017 (rate, 1.75; SIR, 1.25) and in 2018 (rate, 1.037; SIR, 0.91). The reduction in CLABSIs was attributed to appropriate triage, insertion, and maintenance of vascular access devices.

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Key Words : Central line associated–bloodstream infection, Vascular access, Central venous access, Peripheral venous access, Utilization, Hospital teams

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Conflicts of interest: None to report.

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Vol 48 - N° 4

P. 460-464 - avril 2020 Retour au numéro

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A comprehensive vascular access service can reduce catheter-associated bloodstream infections and promote the appropriate use of vascular access devices - 31/03/20

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