Central Line Associated Blood-Stream Infection (CLA-BSI) rate
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
All patients with one or more central lines (CL) are included in the sample. 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.
Includion 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
- Daily.
- Quarterly - the total number of CVC days and the number of CLA_BSI based on the definition Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)
Definition and Derivation
CLA-BSI per 1000 Central line days.
Numerator
Number of CLA-BSI incidence during the ICU stay within a quarter period
Denominator
Total Number of Central Line days at 2300 HR within a quarter period
Data Sources
- 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.
- 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
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