23 February

CLABSI BUNDLE Michigan Key Stone Project 2006

Özet :

Catheter-related bloodstream infections are common, costly, and potentially lethal. Each year in the United States, central venous catheters may cause an estimated 80,000 catheter-related bloodstream infections and, as a result, up to 28,000 deaths among patients in intensive care units (ICUs). Given that the average cost of care for a patient with this infection is $45,000, 3 such infections could cost up to $2.3 billion annually. According to the National Nosocomial Infections Surveillance (NNIS) system of the Centers for Disease Control and Prevention (CDC), the median rate of catheter-related bloodstream infection in ICUs of all types ranges from 1.8 to 5.2 per 1000 catheter-days. Interventions aimed at decreasing the infection rate are needed to reduce the serious public health consequences of this hospital-acquired infection.

How many of these infections are preventable is unknown. Several single-hospital studies and two multicenter studies have shown reductions in the rates of catheter-related bloodstream infection. To build on this research, we studied the extent to which these infections could be reduced in Michigan, using an intervention as part of a statewide safety initiative regarding patients in ICUs, known as the Michigan Health and Hospital Association (MHA) Keystone Center for Patient Safety and Quality Keystone ICU project, which was funded predominantly by the Agency for Healthcare Research and Quality (AHRQ). The objective of the study was to evaluate the effect of the intervention up to 18 months after its implementation.

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