Article

Current Infectious Disease Reports

, Volume 13, Issue 4, pp 343-349

Prevention of Central Line–Associated Bloodstream Infections: A Journey Toward Eliminating Preventable Harm

  • Kristina R. WeeksAffiliated withDepartments of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, John Hopkins University School of Medicine Email author 
  • , Christine A. GoeschelAffiliated withDepartments of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, John Hopkins University School of MedicineJohn Hopkins University School of NursingDepartment of Health Policy and Management, John Hopkins Bloomberg School of Public Health
  • , Sara E. CosgroveAffiliated withDepartment of Medicine, Division of Infectious Diseases, John Hopkins Medical Institutions
  • , Mark RomigAffiliated withDepartments of Anesthesiology and Critical Care Medicine, John Hopkins University
  • , Sean M. BerenholtzAffiliated withDepartments of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, John Hopkins University School of MedicineDepartment of Health Policy and Management, John Hopkins Bloomberg School of Public Health

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Abstract

Central line–associated blood stream infections (CLABSI) are among the most common, lethal, and costly health care–associated infections. Recent large collaborative quality improvement efforts have achieved unprecedented and sustained reductions in CLABSI rates and demonstrate that these infections are largely preventable, even for exceedingly ill patients. The broad acceptance that zero CLABSI rates are an achievable goal has motivated and stimulated diverse groups of stakeholders, including public and private groups to develop policy tools and to mobilize their local constituents toward achieving this goal. Nevertheless, attributing reductions in CLABSI rates achieved by multifaceted quality improvement efforts solely to the use of checklists to ensure adherence with appropriate infection control practices is an easily made but crucial mistake. National CLABSI prevention is a shared responsibility and creating novel partnerships between government agencies, health care industry, and consumers is critical to making and sustaining progress in achieving the goals toward eliminating CLABSI.

Keywords

Central line infections Health care–acquired infections Health care–associated infections Health policy CLABSI