Central Line Associated Blood Steam Infections (CLABSI) are among the most frequent and lethal type of nosocomial contagions with a death rate of about 12 to 25%. Different researchers have evaluated different aspects of the Central Line Associated Blood Stream Infections (CLABSI). Dilek et al. (2012), explored the effect of nosocomial infections that are attributed to invasive medical devices in ICUs especially those that are due to central lines.
The scholars of the articles acknowledge that CLABSIs cause increased morbidity, mortality as well as hospital costs each year. However, the amazing fact is that these infections are preventable. This has therefore called for tailoring of standardized procedures to help in preventing surgical infections. For instance, Jackson & Cooper (2012) enlighten that the prevalence of CLABSIs can be reduced drastically through the use of antimicrobial prophylaxis, modification of patients’ risk factors, optimizing sterility during surgeries, and above all using evidence-based antiseptic skin agents such as chlorhexidine.
According to Dilek et al. (2012), CLABSIs can be developed through insertion bloodline catheters, improper cleaning of the skin of the patient, or healthcare providers not washing their hands properly before attending to patients. A patient’s skin at the site of operation is usually cleansed routinely before administration of surgical incisions. Cleansing the skin with normal soap and water has minimal effect on reduction of microbial load compared to the use of chlorhexidine.
It is imperative for health care institutions to educate their staff members about the importance of using chlorhexidine in skin care. Schears (2012) reports that one of the drawbacks of minimizing the incidence of CLABSIs is non-compliance with evidence-based practices. Other ways of improving patient outcomes include; ensuring that there is chlorhexidine in central line kits, removing central lines promptly after they have are deemed no longer useful, and provision of the number of patients infected monthly and comparing them with previous records so that progress can be tracked.
Dilek, A., Ülger, F., Esen, Ş., Acar, M., Leblebicioğlu, H., & Rosenthal, V. D. (2012). Impact of Education and Process Surveillance on Device-Associated Health Care-Associated Infection Rates in a Turkish ICU: Findings of the International Nosocomial Infection Control Consortium (INICC). Balkan Medical Journal, 2012(1). doi:10.5152/balkanmedj.2011.028 Retrieved from EBSCOhost.com
Jackson, A., & Cooper, S. (2012). Zero central-line infections in a 550-bedded district general
hospital. British Journal of Nursing, S24-8. Retrieved from EBSCOhosst.com
Schears, G. J. (2012). Online surveys: A potential weapon against clinician non-
compliance. Journal of the Association for Vascular Access, 17(1), 38-41. doi:10.2309/java.17-1-5. Retrieved from EBSCOhost.com