Community CLABSI prevention bundle
Abstract:
Background: Central line-associated blood stream infections (CLABSIs) can contribute to significant morbidity and mortality. The aim of this improvement project was to decrease CLABSIs by creating an Outpatient Pediatric Central Line Education Bundle and standardizing the education and supplies needed for pediatric patients and families to safely be discharged home with an accessed central line.
Methods: The Plan Do Study Act method of quality improvement was used for this project. Patient and family interviews were conducted, and the Family and Youth Advisory councils were consulted. Assessment surveys utilizing a 5-point Likert scale were given to patients before and after the implementation to evaluate the effectiveness of the intervention.
Results: Following the implementation zero community CLABSIs have been reported.
Discussion: This collaborative project provides the necessary education and resources to manage and streamline central line care in the home and may help prevent complications such as CLABSI.
Reference:
Murray J, Pontieri J, Yam P, Zavotsky KE. Decreasing community acquired CLABSI: Creating a new infection prevention bundle for management of the pediatric patient discharged with a central line. J Pediatr Nurs. 2025 Mar 26:S0882-5963(25)00089-2. doi: 10.1016/j.pedn.2025.03.012. Epub ahead of print. PMID: 40148207.