Central venous catheters (CVCs) disrupt the integrity of the skin, making infection with bacteria or fungi possible. Central Line-Associated Bloodstream Infections (CLABSI) may spread to the bloodstream and hemodynamic changes and organ dysfunction may ensue, possibly leading to death.
It is estimated that 500 to 4,000 U.S. patients die annually from bloodstream infections. In addition, nosocomial bloodstream infections prolong hospitalization by an average of seven days. It is estimated that bloodstream infection costs between US$3,700 and US$29,000. There are no equivalent Canadian figures.
We can make a difference.
Reduce CLABSIs with two bundles of key, evidence-based steps.
Central Line Insertion Bundle:
Maximal barrier precautions
Chlorhexidine skin antisepsis
Optimal catheter type and site selection
Avoid the femoral vein in adults; subclavian preferred to minimize infection risk.
Optimal catheter type and site selection in children is more complex with the internal jugular vein or femoral vein most commonly used. Site preference in children needs to be individualized.
Central Line Care bundle
Daily review of line necessity, with prompt removal of unnecessary lines
Aseptic lumen access
Catheter site and tubing care
Download the Getting Started Kit to learn more.
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