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No reported CLABSIs in Michigan ICUs for up to 2 years
Lipitz-Snyderman A. Arch Intern Med.2011;171:856-858.
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Implementing a targeted quality improvement intervention resulted in 1 to 2 years without a reported central line-associated bloodstream infection in Michigan intensive care units, according to data published in the Archives of Internal Medicine.
The Comprehensive Unit-based Safety Program (CUSP) was implemented throughout the Keystone Intensive Care Unit Project to reduce hospital infections in Michigan.
“This study demonstrates that any hospital ICU can go a year or two without an infection if it commits to implementing this targeted quality improvement initiative. With CUSP, the goal of a year or two without a CLABSI is achievable,” Peter J. Pronovost, PhD, professor of anesthesiology and critical care medicine at The Johns Hopkins University School of Medicine, said in a press release.
For the study, Pronovost and colleagues examined the ability of ICUs to sustain zero CLABSIs over time. The researchers pooled data on reported CLABSIs from 80 ICUs across 57 Michigan hospitals between Mar. 2004 and Feb. 2008 (median 45 months).
The mean and median consecutive number of months with no reported CLABSIs was 16.5 and 15, respectively, according to the report. Approximately 60% of ICUs sustained zero CLABSIs for at least 1 year and 26% for at least 2 years. Compared with larger teaching hospitals with more than 399 beds, smaller, nonteaching hospitals sustained no CLABSIs longer, the researchers wrote.
“These findings suggest that in the setting of a comprehensive initiative focused on reducing CLABSIs, extended periods without infections are possible; even among large teaching hospitals, one-third achieved at least 1 year without a CLABSI,” they wrote.
“As such, incentives for hospitals to implement and sustain evidence-based infection prevention initiatives appear warranted. While self-reported infection rates were not externally validated, best practices to collect data were used. The data are from a single state that participated in a focused CLABSI program, and a similar program may be necessary for others to achieve these results.”
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