A multi-pronged approach — which includes front line engagement, education, execution of best practices and evaluation of processes — may prove effective in reducing central line–associated bloodstream infections outside the intensive care unit, according to a study published in the American Journal of Infection Control.
Researchers studied the impact of a multi-pronged intervention, implemented through a collaborative of 37 adult non-ICU wards at six hospitals in the Rochester, N.Y., area. The study took place over a four-and a half-year period.
The interventions included engagement of nursing staff and leadership, nursing education on line care maintenance, competence evaluation, audits of line care and regular feedback on CLABSI rates.
The overall CLABSI rate for all participating units decreased from 2.6/1000 line-days before the intervention to 2.1/1,000 line-days during the intervention and to 1.3/1,000 line-days after the intervention, which is a 50 percent reduction compared with the preintervention period.
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