Bundle Reduced CLABSIs, Achieved Significant Cost Savings


Bundles have been developed to facilitate the application of infection control guidelines. Investigators from Hospital Universitario Austral in Pilar, Argentina report that because the rates of central line-associated bloodstream infections (CLABSIs) in their institution were above the international standards, a specific bundle was implemented through a multi-modal approach. Quiros, et al. sought to describe the strategy of bundle implementation for prevention of CLABSI and to estimate its impact.

Since March 2010 the following measures were implemented at the ICUs to prevent CLABSI: use central venous catheters only if strictly necessary; avoiding the femoral site if possible; hand hygiene with alcohol-gel before insertion; using full-barrier precautions during the insertion of central venous catheters; cleaning the skin with chlorhexidine (2 percent) and removing unnecessary catheters. The implementation was carried out through the model of "5Es" (Engage, Education, Execution, Evaluation and Encouragement). The rate of CLABSI during the intervention period (March 2010 through February 2011) was compared with the average of the 12 months prior to implementation. For economic impact analysis an attributable cost of U.S. $5,500 was used.

The incidence rate of CLABSI at the baseline period was 6.84 events per 1,000 device-days in comparison with 2.70 events per 1,000 device-days during implementation period (RR 0.40; 95% CI 0.22 to 0.69, p<0,01). There were no changes in the utilization ratio between both periods (0.45 [6429/14222] and 0.44 [7025/16077], respectively). During the implementation period the level of adherence rose to more than 90 percent in all bundle components. While the annual incremental cost to prevent CLABSI was U.S. $28,300, the overall net savings was U.S. $130,500.

The researchers say effective implementation of this bundle in their hospital reduced the CLABSI rate with a significant net savings. Their research was presented at the International Conference on Prevention & Infection Control (ICPIC) held in Geneva, Switzerland, June 29-July 2, 2011.

Reference: RE Quirós, L Fabbro and A Novau. Impact of bundle for central line associated bloodstream infections prevention. Presentation at International Conference on Prevention & Infection Control (ICPIC). BMC Proceedings 2011, 5(Suppl 6):O11doi:10.1186/1753-6561-5-S6-O11

Related Videos
An eye instrument holding an intraocular lens for cataract surgery. How to clean and sterilize it appropriately?   (Adobe Stock 417326809By Mohammed)
Christopher Reid, PhD  (Photo courtesy of Christopher Reid, PhD)
Paper with words antimicrobial resistance (AMR) and glasses.   (Adobe Stock 126570978 by Vitalii Vodolazskyi)
Association for the Health Care Environment (Logo used with permission)
Woman lying in hospital bed (Adobe Stock, unknown)
Photo of a model operating room. (Photo courtesy of Indigo-Clean and Kenall Manufacturing)
Washington, USA, US Treasury Department and Inspector General Office.    (Adobe Stock File 210945332 by Brian_Kinney)
A plasmid is a small circular DNA molecule found in bacteria and some other microscopic organisms. (Adobe Stock 522876298 by Love Employee)
Peter B. Graves, BSN, RN, CNOR, independent perioperative, consultant, speaker, and writer, Clinical Solution, LLC, Corinth, Texas; Maureen P. Spencer, M.Ed, BSN, RN, CIC, FAPIC, infection preventionist consultant, Infection Preventionist Consultants, Halifax, Massachusetts; Lena Camperlengo, DrPH, MPH, RN, Senior Director, Premier, Inc, Ocala, Florida.
Maddison B. Stone, MPH, CIC, LSSGB, senior infection preventionist, JPS Health Network, Fort Worth, Texas; and Jordan M. Chiasson, PharmD, BCIDP, clinical pharmacist - antimicrobial stewardship, JPS Health Network, Fort Worth, Texas
Related Content