News
ICViewExpert PerspectivesMedical World NewsPathogen PlaybookVideosWebinars
Conference CoverageConference ListingAPIC Chapters
Infection Control TodaySupplements And Featured Publications
CME/CEEditorial Advisory BoardJob BoardPartnersSponsoredWhitepapers
Subscribe
Educator of the Year Official Rules2024 Educator of the Year Winner2023 Educator of the Year WinnerEducator of the Year
Advanced TechnologyAdvanced TechnologyAdvanced Technology
Bug of the Month
COVID-19
Environmental ServicesEnvironmental Services
HAIs
Hand Hygiene
IC Trends
Long-Term CareLong-Term Care
Operating Room
Personal Protective EquipmentPersonal Protective Equipment
Policy
PreventionPreventionPreventionPrevention
Sterile ProcessingSterile Processing
Surface Disinfection
Vascular Access
Spotlight -
  • IC Trends
  • Bug of the Month
  • Featured Articles
  • Featured Columns
  • Pathogen Playbook
Advanced TechnologyAdvanced TechnologyAdvanced Technology
Bug of the Month
COVID-19
Environmental ServicesEnvironmental Services
HAIs
Hand Hygiene
IC Trends
Long-Term CareLong-Term Care
Operating Room
Personal Protective EquipmentPersonal Protective Equipment
Policy
PreventionPreventionPreventionPrevention
Sterile ProcessingSterile Processing
Surface Disinfection
Vascular Access
    • News
    • Subscribe
Advertisement

Simple Steps to Prevent Catheter-Related Infections Save Hundreds of Lives, Millions of Dollars

October 24, 2011
Article

By following a few basic rules for handling central venous catheters, nurses and doctors at a group of children's hospitals have, in three years, prevented nearly a thousand infections and saved more than a hundred children's lives and millions of dollars, according to a study by investigators at Johns Hopkins Children's Center and elsewhere.

The results of the program, spearheaded by the National Association of Children's Hospitals and Related Institutions (NACHRI) and led by Marlene Miller, MD, MSc, director of pediatric quality and safety at Johns Hopkins, are published online in the November issue of Pediatrics.

The research involved 29 pediatric intensive-care units (PICUs) and examined whether and how low-tech steps involving proper daily care and maintenance of central lines might reduce infection rates.

Researchers found that proper daily care of the central line slashed the number of infections by more than half (56 percent) over three years.

A central venous catheter, or central line, is a tube inserted into a major blood vessel in the neck, chest or groin to serve as portal for medication, fluids or blood draws in patients who need them frequently. Because central lines also provide quick direct access into a patient's bloodstream in emergencies, children in the PICU often have them for weeks or months. Inserted incorrectly or mishandled after insertion, the central line can become a gateway for bacteria or other germs to enter the patient's bloodstream, causing invasive disease and organ damage in these already vulnerable patients.

Because the catheter is often accessed multiple times a day after insertion, proper handling is critical, the investigators say. Basic precautions, such as daily assessment of the actual need for a central line and prompt removal if no longer needed; regularly changing the dressing covering the central line; changing the tubes and caps attached to it; cleaning the line before and after each use; and hand washing before handling the line can go a long way to keep bacteria and other bugs at bay.

The results, the investigators say, are impressive because they showed sustained and continuous reduction in infections over a long period of time and across PICUs with varying staffing, sizes and protocols.

"The drastic reduction in infections sustained over time and across many different hospitals shows that proper catheter care, when practiced rigorously and systematically, can be a game-changer in the battle against catheter-related infections," says Miller, the study's lead investigator and vice president for quality transformation at NACHRI.

Sustaining the success long term and curbing infection rates further will require the continuing education of medical staff, Miller says, adding that constant reminders to follow catheter protocol should be a mainstay in every PICU.

"The lessons learned can be applied beyond the PICU floor and, if made a national priority for all pediatric hospitals, these basic steps could lead to many more saved lives and reduce healthcare costs even further," added Miller.

In an 18-month-long sub-study, researchers examined two more steps: additional scrubbing of the device's cap with antiseptic solution before each access and placing antiseptic-soaked sponges at the catheter insertion site. Neither strategy reduced infection rates further, they found.

The findings are part of NACHRI's ongoing quality improvement program, which started in 2006 and now includes 88 pediatric hospitals. In September, member hospitals announced that in five years the quality improvement program has saved 355 children's lives and nearly $104 million by preventing nearly 3,000 central line infections. The program originated in pediatric intensive-care units, with hematology and oncology units -- two other frequent users of central lines in children -- joining a few years later.

Each year, 250,000 central line infections occur in the United States, researchers estimate, and up to one-fourth of patients die from them. Among children, up to one in five patients who get such infections die from them, researchers say. Each infection carries a price tag of up to $45,000.

Recent Videos
Jordan Bastian, MPH, CIC, at APIC25
Jordan Bastian, MPH, CIC, at APIC25
Rebecca Battjes, MPH, CIC, FAPIC; Vidya Nankoosingh, MLT, CIC; and Peter Teska, MBA
Mark Wiencek, PhD
Studying for the CIC using a digital tablet and computer (Adobe Stock 335828989 by NIKCOA)
Infection Control Today's Conversations with the HSPA President, Arlene Bush, CRCST, CER, CIS, SME, DSMD, CRMST
Cheron Rojo, BS, FCS, CHL,  CER, CFER, CRCST
Matthias Tschoerner, Dr Sc
Concept images of Far-UVC  (Adobe Stock 316993517 by hopenv)
Physicians Sound Alarm: Vaccine Misinformation and Policy Failures Threaten US Public Health
Related Content

Weekly Rounds with Infection Control Today

Weekly Rounds: Stretcher Contamination, Lumens 2.0, and More

July 14th 2025
Article

Take 5 minutes to catch up on Infection Control Today’s highlights for the week ending July 13, 2025.


CDC  (Adobe Stock, unknown)

CDC Urges Vigilance: New Recommendations for Monitoring and Testing H5N1 Exposures

Infection Control Today® Editorial Staff
July 11th 2025
Article

With avian influenza A(H5N1) infections surfacing in both animals and humans, the CDC has issued updated guidance calling for aggressive monitoring and targeted testing to contain the virus and protect public health.


Washing hands at a sink  (Adobe Stock 1298928756)

A Helping Hand: Innovative Approaches to Expanding Hand Hygiene Programs in Acute Care Settings

Kerri Simone, MPH, CIC;Alexander O’Flaherty Linehan ;Will Zacamy
July 9th 2025
Article

Who knew candy, UV lights, and a college kid in scrubs could double hand hygiene adherence? A Pennsylvania hospital’s creative shake-up of its infection prevention program shows that sometimes it takes more than soap to get hands clean—and keep them that way.


Cori L. Ofstead, MSPH; Brandon M. Gantt, MHA, CRCST, CHL, CER, LSSGBH; and Jill E. Holdsworth, MS, CIC, FAPIC, NREMT, CRCST, CHL

Lumens 2.0 Study Results: Borescopes Reveal Hidden Challenges of Cleaning Lumened Surgical Instruments

Tori Whitacre Martonicz
July 8th 2025
Article

A groundbreaking study presented at HSPA25 and APIC25 exposed hidden contamination lurking inside orthopedic and neurosurgical instruments—even after cleaning. The Lumens 2.0 research highlights why infection prevention must look deeper than surface-level protocols.


The Clean Bite

Why You Should Always Ask About Sterilization at the Dentist

Sherrie Busby, EDDA, CDSO, CDIPC
July 7th 2025
Article

Patients rarely question sterilization protocols at the dentist, yet it is essential for safety. The Clean Bite explores why asking matters, what to look for, and how to start the conversation confidently.


A Profession Without a Path, Part 2

Broadening the Path: Diverse Educational Routes Into Infection Prevention Careers

Shahbaz Salehi, MD, MPH, MSHIA;Anna Arifin, MD, MBA, MT, CIC
July 4th 2025
Article

Once dominated by nurses, infection prevention now welcomes professionals from public health, lab science, and respiratory therapy—each bringing unique expertise that strengthens patient safety and IPC programs.

Related Content

Weekly Rounds with Infection Control Today

Weekly Rounds: Stretcher Contamination, Lumens 2.0, and More

July 14th 2025
Article

Take 5 minutes to catch up on Infection Control Today’s highlights for the week ending July 13, 2025.


CDC  (Adobe Stock, unknown)

CDC Urges Vigilance: New Recommendations for Monitoring and Testing H5N1 Exposures

Infection Control Today® Editorial Staff
July 11th 2025
Article

With avian influenza A(H5N1) infections surfacing in both animals and humans, the CDC has issued updated guidance calling for aggressive monitoring and targeted testing to contain the virus and protect public health.


Washing hands at a sink  (Adobe Stock 1298928756)

A Helping Hand: Innovative Approaches to Expanding Hand Hygiene Programs in Acute Care Settings

Kerri Simone, MPH, CIC;Alexander O’Flaherty Linehan ;Will Zacamy
July 9th 2025
Article

Who knew candy, UV lights, and a college kid in scrubs could double hand hygiene adherence? A Pennsylvania hospital’s creative shake-up of its infection prevention program shows that sometimes it takes more than soap to get hands clean—and keep them that way.


Cori L. Ofstead, MSPH; Brandon M. Gantt, MHA, CRCST, CHL, CER, LSSGBH; and Jill E. Holdsworth, MS, CIC, FAPIC, NREMT, CRCST, CHL

Lumens 2.0 Study Results: Borescopes Reveal Hidden Challenges of Cleaning Lumened Surgical Instruments

Tori Whitacre Martonicz
July 8th 2025
Article

A groundbreaking study presented at HSPA25 and APIC25 exposed hidden contamination lurking inside orthopedic and neurosurgical instruments—even after cleaning. The Lumens 2.0 research highlights why infection prevention must look deeper than surface-level protocols.


The Clean Bite

Why You Should Always Ask About Sterilization at the Dentist

Sherrie Busby, EDDA, CDSO, CDIPC
July 7th 2025
Article

Patients rarely question sterilization protocols at the dentist, yet it is essential for safety. The Clean Bite explores why asking matters, what to look for, and how to start the conversation confidently.


A Profession Without a Path, Part 2

Broadening the Path: Diverse Educational Routes Into Infection Prevention Careers

Shahbaz Salehi, MD, MPH, MSHIA;Anna Arifin, MD, MBA, MT, CIC
July 4th 2025
Article

Once dominated by nurses, infection prevention now welcomes professionals from public health, lab science, and respiratory therapy—each bringing unique expertise that strengthens patient safety and IPC programs.

Advertise
About Us
Editorial Board
Contact Us
Job Board
Terms and Conditions
Privacy
Do Not Sell My Personal Information
Contact Info

2 Commerce Drive
Cranbury, NJ 08512

609-716-7777

© 2025 MJH Life Sciences

All rights reserved.
Home
About Us
News