Central Line Related Blood stream Infection (CLR-BSI)

Central Line Related Blood Stream Infection (CLR-BSI)

• Purpose
  • To identify the incidence of Central Venous Line Related Infections within the WRHA ICU's.
  • The monitoring of the incidence over time will identify the magnitude of the problem within a specific area or unit and will enable comparisons between selected ICU's across Canada (Canadian Collaborative - Safer Health Care Now).
  • This should lead to the review of practices occuring at the time of insertion as well as the care processes relating to the maintenance of the catheter dressings.

• GOAL
  • Eliminate this preventable patient harm.

• Criteria

Laboratory confirmed bloodstream infection must meet at least one of the following criteria and have occurred in the ICU or within 48 hours of leaving the ICU:

• • Criterion 1:

Patient has a recognized pathogen cultured from one or more blood cultures and the organism cultured from blood is not related to an infection at another site.

• • Criterion 2:

Patient has at least one of the following signs or symptoms:

• fever (>38 C)

   OR

• chills

   OR

• hypotension

   OR

• Signs of infection of catheter insertion site/tunnel

   PLUS

• at least one of the following (A or B) below:

a.) Common skin commensal (comtaminant) is cultured from two or more blood cultures drawn on separate occasions. (e.g. diphtheriods, Bacillus sp., Propionibacterium sp., coagulase-negative staphylococci, or micrococci).

   OR

b.) Common skin commensal (comtaminant) is cultured from at least one blood cultures from a patient with an intravascular line. (e.g. diphtheriods, Bacillus sp., Propionibacterium sp., coagulase-negative staphylococci, or micrococci).

   AND

physician institutes appropriate antimicrobial therapy.

TOstryzniuk 19:42, 26 June 2008 (CDT)