Annals for Hospitalists Inpatient Notes - Trends in Rates of Catheter-Associated Bloodstream Infection—Zeroing In on Zero or Just Fake News?
Authors: Naomi P. O’Grady
Journal: Annals of Internal Medicine (2017)

Web Exclusives19 December 2017Annals for Hospitalists Inpatient Notes - Trends in Rates of Catheter-Associated Bloodstream Infection—Zeroing In on Zero or Just Fake News?Naomi P. O’Grady, MDNaomi P. O’Grady, MDNational Institutes of Health Clinical Center, Bethesda, Maryland (N.P.O.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-3049 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Reports suggest that rates of central line–associated bloodstream infection (CLABSI) have steadily decreased over the past 2 decades. For example, the Centers for Disease Control and Prevention (CDC) reported a 58% decline in CLABSI rates from 2001 to 2009 across intensive care units (1); a decrease was noted between 2004 and 2013 in hospitals participating in the Michigan Keystone Project (2); and the National and State Healthcare–Associated Infections Progress Report has shown that CLABSI rates declined by 50% between 2008 and 2014. Although encouraging, a fundamental question remains: Why have we been so successful at reducing CLABSI but not other ...References1. Centers for Disease Control and Prevention (CDC). Vital signs: central line-associated blood stream infections—United States, 2001, 2008, and 2009. MMWR Morb Mortal Wkly Rep. 2011;60:243-8. [PMID: 21368740] MedlineGoogle Scholar2. Pronovost PJ, Watson SR, Goeschel CA, Hyzy RC, Berenholtz SM. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Am J Med Qual. 2016;31:197-202. [PMID: 25609646] doi:10.1177/1062860614568647 CrossrefMedlineGoogle Scholar3. O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO; Healthcare Infection Control Practices Advisory Committee (HICPAC). Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011;52:e162-93. [PMID: 21460264] doi:10.1093/cid/cir257 CrossrefMedlineGoogle Scholar4. Gaur AH, Miller MR, Gao C, Rosenberg C, Morrell GC, Coffin SE, et al. Evaluating application of the National Healthcare Safety Network central line-associated bloodstream infection surveillance definition: a survey of pediatric intensive care and hematology/oncology units. Infect Control Hosp Epidemiol. 2013;34:663-70. [PMID: 23739069] doi:10.1086/671005 CrossrefMedlineGoogle Scholar5. Torres D, González ML, Loera A, Aguilera M, Relyea G, Aristizabal P, et al. The Centers for Disease Control and Prevention definition of mucosal barrier injury-associated bloodstream infection improves accurate detection of preventable bacteremia rates at a pediatric cancer center in a low- to middle-income country. Am J Infect Control. 2016;44:432-7. [PMID: 26775931] doi:10.1016/j.ajic.2015.11.007 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: National Institutes of Health Clinical Center, Bethesda, Maryland (N.P.O.)Disclaimer: The findings and conclusions in this manuscript are those of the author and do not necessarily represent the views of the National Institutes of Health, or the Department of Health and Human Services.Financial Support: This work was supported by the National Institutes of Health Clinical Center, Bethesda, Maryland.Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-3049.Requests for Single Reprints: Naomi P. O’Grady, MD, Critical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD 20815; e-mail, [email protected]nih.gov. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 19 December 2017 David H. Wesorick and Vineet Chopra Metrics Cited byQuantitative Results of a National Intervention to Prevent Central Line–Associated Bloodstream Infection A Pre–Post Observational StudyPayal K. Patel, MD, MPH, M. Todd Greene, PhD, MPH, Karen Jones, RN, MPH, Andrew J. Rolle, MPH, David Ratz, MS, Ashley Snyder, MPH, Sanjay Saint, MD, MPH, and Vineet Chopra, MD, MSc 19 December 2017Volume 167, Issue 12Page: HO2-HO3KeywordsBacteremiaCathetersCentral line associated bloodstream infectionHealth careHospitalistsPublic policyRetrospective studiesSafetyUrinary tract infections ePublished: 19 December 2017 Issue Published: 19 December 2017 PDF downloadLoading ...