Reducing Catheter-Related BSIs in the ICU

Broad implementation of simple, inexpensive measures produced significant sustained reductions in rates of central vascular catheter–associated bloodstream infections.

In 2002, the CDC published guidelines for preventing intravascular catheter–related bloodstream infections (CR-BSIs); several small studies have shown that applying these guidelines can reduce the incidence of infections. Now, in a study encompassing 103 intensive care units (ICUs) in 62 Michigan and 5 out-of-state hospitals, researchers have assessed the utility of five evidence-based, CDC-recommended measures in reducing CR-BSI incidence.

Between March 2004 and September 2005, the ICUs implemented the study interventions: hand-washing, using full-barrier precautions for catheter insertion, disinfecting the skin with chlorhexidine, avoiding femoral sites, and removing catheters as soon as possible. Fifty-five of the ICUs reported baseline d…

Reviewing Author

Richard T. Ellison III, MD