Sustained Low Incidence Rates of Central Line-Associated Blood Stream Infections in the Intensive Care Unit

Figures & data

Table 1 Incidence Rate and Ratio of CLABSI Reported During Pre- and Post-Intervention at the Study Hospital Compared with NHSN Hospitals, DA Module 2013

Intervention/Year	No. of HAIs	Device-Days	Patient-Days	Incidence Rate/1,000 Device-Days	Benchmarking to NHSN-2015		Utilization Ratio	Benchmarking to NHSN-2015
					Pooled Mean	Percentile		Pooled Mean	Percentile
Pre-intervention/2016	7	6,218	12,155	1.12	0.8	50–75%	0.51	0.49	50%
Post-intervention/2017–2019	8	17,377	39,471	0.46	0.8	25–50%	0.44	0.49	25–50%

Abbreviations: CLASBI, central line-associated bloodstream infection; DA, device associated; NHSN, National Healthcare Safety Network-USA.

Table 2 CLABSI Bundle Compliance Rate After Intervention Period 2017–2019

Bundle Components	2017*			2018			2019
	Opportunity	Action	Rate %	Opportunity	Action	Rate %	Opportunity	Action	Rate %
Hand hygiene	546	546	100	1,643	1,643	100	1,587	1,587	100
Maximal barrier precautions	546	546	100	1,643	1,643	100	1,587	1,587	100
Chlorohexidine skin antisepsis	546	546	100	1,643	1,643	100	1,587	1,587	100
Optimal catheter site selection	546	546	100	1,643	1,643	100	1,587	1,587	100
Daily review of line necessity	546	544	99.63	1,643	1,642	99.94	1,587	1,555	97.98

Note: *Data is only from June to December 2017.

Table 3 Number of Microorganisms Causing CLABSIs During the Study Period

Microorganism	Number of Isolates per Year
	2016	2017	2018	2019
Klebsiella pneumonia	7	0	2	1
Acinetobacter baumanii	0	0	1	0
Proteus mirabilis	0	0	0	1
Pseudomonas areuginosa	0	1	0	1
Enterococcus faecalis	0	0	1	0

Abbreviation: CLASBI, central line-associated bloodstream infection.