Daily Assessment of Infection Control Practices: Effective Strategies in CLABSI Management at a Tertiary Health Care and Research Centre
DOI:
https://doi.org/10.37506/rzmk5h65Keywords:
Sickle cell disease (SCD), Device Associated infections (DAI), Central line-associated bloodstream infections (CLABSI), Ventilator-associated pneumonia (VAP), Catheter-associated urinary tract infections (CAUTI).Abstract
Background
Central Line-Associated Bloodstream Infections (CLABSIs) are a major healthcare concern, increasing morbidity, mortality, and costs. However, most cases are preventable through strict aseptic techniques, optimal site selection, and adherence to infection control bundles. Surveillance plays a crucial role in tracking trends and improving prevention strategies. Our institute, with over four decades of strong Infection Prevention and Control (IPC) practices, collaborates with global organizations to enhance patient safety. By implementing evidence-based protocols and continuous monitoring, we strive to reduce CLABSI rates and improve healthcare outcomes.
Study Objective
To evaluate and analyze the existing protocols and adherence to best practices for central line insertion and maintenance in the ICU setting By focusing on these critical aspects, we aim to identify factors contributing to the occurrence of Central Line-Associated Bloodstream Infections (CLABSI), assess compliance with standardized protocols, and highlight effective measures for infection prevention and control.
Methods
This retrospective study was conducted in the ICU at P.D. Hinduja Hospital, Mumbai, on patients with a central venous catheter (CVC) for two or more days from January 2024 to September 2024. CLABSI was defined per CDC criteria. The IPC team monitored adherence to insertion and maintenance protocols through daily rounds and data collection. Monthly CLABSI rates were analyzed and discussed in infection control meetings to improve patient care and reduce infection rates.
Results and Conclusion
Central line insertion compliance was 100% for hand hygiene, skin preparation, and ultrasound guidance, while sterile barrier use was 95%, indicating a small gap. Maintenance compliance was also 95%, showing strong infection control and contributing to a low CLABSI rate. No repeat organisms were found, suggesting no cross-contamination. Adhering to protocols is key to reducing CLABSI and improving patient safety.
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