CLABSI

Sample Solution

    Central line-associated bloodstream infection (CLABSI) is a serious infection that can occur when bacteria enter the bloodstream through a central line, a catheter that is inserted into a large vein in the chest. Central lines are often used to deliver medications, fluids, and nutrition to patients who are critically ill or undergoing major surgery. CLABSIs are a major cause of morbidity and mortality in hospitals. In the United States, an estimated 250,000 CLABSIs occur each year, and they are responsible for over 20,000 deaths. There are a number of risk factors for CLABSI, including:

• The length of time that the central line is in place. The longer the central line is in place, the greater the risk of infection.
• The patient's underlying health status. Patients who are critically ill or who have a weakened immune system are at increased risk for CLABSI.

Full Answer Section

   

• The type of central line. Some types of central lines, such as those that are inserted into the jugular vein, are more likely to become infected than others.
• The care that is given to the central line. If the central line is not properly cared for, the risk of infection increases.

There are a number of things that can be done to prevent CLABSI, including:

• Using aseptic technique when inserting and caring for the central line. This means using clean gloves, gowns, and masks, and following strict handwashing guidelines.
• Keeping the central line clean and dry. The central line should be cleaned with an alcohol solution at least once a day.
• Changing the central line dressing every 2 to 7 days. The dressing should be changed more often if it becomes wet or soiled.
• Using antibiotic ointment around the central line insertion site. This can help to prevent bacteria from entering the bloodstream.
• Monitoring the central line for signs of infection. These signs include redness, swelling, pain, and fever.

If you have a central line, it is important to talk to your healthcare provider about the risks of CLABSI and how to prevent it. By following these simple steps, you can help to reduce your risk of infection. In addition to the points mentioned above, it is also important to note that CLABSIs can be prevented by using newer, more-advanced central line devices that have features that help to reduce the risk of infection. These devices include:

• Silver-impregnated catheters. These catheters have a coating of silver that helps to kill bacteria.
• Antibiotic-coated catheters. These catheters have a coating of an antibiotic that helps to prevent bacteria from growing on the catheter.
• Dedicated ports. These ports are used for a single purpose, such as delivering medication, and they are not used for other purposes, such as drawing blood. This helps to reduce the risk of contamination.

By using these newer, more-advanced central line devices, healthcare providers can help to reduce the risk of CLABSI and improve patient outcomes.