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Lippincott, Williams & Wilkins, Survey of Anesthesiology, 5(51), p. 232, 2007

DOI: 10.1097/01.sa.0000267103.16356.6e

Oxford Medicine Online

DOI: 10.1093/med/9780190467654.003.0047

50 Landmark Papers, p. 282-283, 2019

DOI: 10.1201/9780429316944-90

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An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU

Journal article published in 2006 by Peter Pronovost, J. A. Stockman, Dale Needham, D. R. Snydman, David Sinopoli, Bryan Sexton, Robert Welsh, Gary Roth, A. Kumar, Courtney Maxey-Jones, Robert Hyzy, John Kepros, Sean Berenholtz, Haitao Chu ORCID, Sara Cosgrove and other authors.
This paper is available in a repository.
This paper is available in a repository.

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Abstract

As part of the Keystone Intensive Care Unit project a bundle of evidence-based interventions was introduced in ICUs across the state of Michigan with the goal of decreasing catheter-related bloodstream infections (CRBI). The bundle included (1) hand washing, (2) full barrier precautions during placement of central venous catheters, (3) skin cleaning with chlorhexidine, (4) if possible, avoidance of femoral site, and (5) removing unnecessary central venous catheters. Post implementation rates of catheter-related bloodstream infections were compared to baseline data. The results showed a decrease from a baseline median rate of 2.7 infections per 1000 catheter-days to a median rate of 0 infections per 1000 catheter-days, which was sustained over 18 months of follow-up.