Central Line Associated Blood-Stream Infection (CLA-BSI) rate: Difference between revisions
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**A central lines (CL) is a central venous catheters (CVC) that terminates at or close to the heart or one of the great vessels. Great vessels include the pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic, internal jugular, subclavian, external iliac and the common femoral veins. | **A central lines (CL) is a central venous catheters (CVC) that terminates at or close to the heart or one of the great vessels. Great vessels include the pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic, internal jugular, subclavian, external iliac and the common femoral veins. | ||
*100% sampling for all cases with CLA-BSI incidence following the criteria listed in [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) | CLA-BSI]] | *100% sampling for all cases with CLA-BSI incidence following the criteria listed in [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) | CLA-BSI]] | ||
=== | ===Inclusion Criteria=== | ||
CVCs include percutaneous non-tunnelled, tunnelled (e.g. Hickman), peripherally inserted (PICC) and pulmonary artery catheters. | CVCs include percutaneous non-tunnelled, tunnelled (e.g. Hickman), peripherally inserted (PICC) and pulmonary artery catheters. | ||
===Exclusion Criteria=== | ===Exclusion Criteria=== |
Revision as of 19:16, 2019 August 13
CLA-BSI defined using CDC case definition.
Indicators | |
Indicator: | Central Line Associated Blood-Stream Infection (CLA-BSI) rate |
Created/Raw: | Created |
Program: | Critical Care |
Start Date: | |
End Date: | |
Reports: | Directors Quarterly and Annual Report (Critical Care), STB ICUs VAP Rate, CLIBSI Rate Summary, WRHA ICU Hospital-Acquired Conditions |
QI domain
- Safe
Significance
CLA-BSIs increase morbidity, mortality and costs. It can be prevented using evidence-based interventions. This measure can be used to detect changes related to implementation or lack of adherence to these best practices.
Sampling Plan / Procedure
- 100 for all patients with one or more central lines (CL) as indicated by the presence of Central Venous Catheter at 2300 (TISS Item)
- A central lines (CL) is a central venous catheters (CVC) that terminates at or close to the heart or one of the great vessels. Great vessels include the pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic, internal jugular, subclavian, external iliac and the common femoral veins.
- 100% sampling for all cases with CLA-BSI incidence following the criteria listed in CLA-BSI
Inclusion Criteria
CVCs include percutaneous non-tunnelled, tunnelled (e.g. Hickman), peripherally inserted (PICC) and pulmonary artery catheters.
Exclusion Criteria
This does not include totally implanted devices (e.g. Ports), arterial catheters, pacemaker leads and other non-infusion devices.
Frequency
- Recording the date the CLA-BSI occurred.
- Daily recording of dates patients have CL or CVC
- Total number of Central Line days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
- Time Reference is calendar month, quarter or year.
Definition and Derivation
CLA-BSI per 1000 Central line days.
Numerator
Number of CLA-BSI incidence during the ICU stay of a reporting period
Denominator
Total Number of Central Line days at 2300 HR of a reporting period
Data Sources
- Starting 2019, CLA-BSI is part of the ICD10 collection with code T82.70 Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) under the Acquired Diagnosis / Complication. The date is the Dx Date of the Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) diagnosis.
- Before 2019, the dates when CLA-BSI occurred were taken from the Tmp project QA Infection.
- Central Line (CVC) days are taken from TISS28 item#46 Central Venous Catheter at 2300 (TISS Item)
SAS Program
- The SAS program to get the CLA_BSI is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
- The SAS program to get the Central Line Days is X:\Julie\SAS_CFE\CFE_macros\CFE_tiss28.sas
Report Users
- Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
- St Boniface Cardiac Sciences Program (STB site only)
- HSC Infection Prevention & Control (HSC site only)
- WRHA Infection Prevention & Control
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