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Central line bloodstream infections can be reduced in newborn infants using the modified Seldinger technique and care bundles of preventative measures
Author(s) -
Arnts IJJ,
Schrijvers NM,
Flier M,
Groenewoud JMM,
Antonius T,
Liem KD
Publication year - 2015
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12915
Subject(s) - medicine , seldinger technique , observational study , peripherally inserted central catheter , incidence (geometry) , bloodstream infection , central line , intensive care , neonatal intensive care unit , infection control , intensive care medicine , pediatrics , catheter , surgery , physics , optics
Abstract Aim There has been no evidence to show whether care bundles of preventive measures reduce central line‐associated bloodstream infection ( CLABSI ) in peripherally inserted central catheters using the modified Seldinger technique, which requires more specific skills than the traditional technique. The aim of this study was to address that gap in our knowledge and to determine whether other variables influenced the outcome. Methods This prospective observational study was conducted on a neonatal intensive care unit. We observed the incidence of CLABSI in 45 newborn infants with peripheral catheters before the introduction of bundles of preventative measures and 88 infants after the introduction. Results Laboratory‐confirmed CLABSI decreased after the introduction of the bundles, from 12.9 per 1000 days to 4.7/1000 days (p = 0.09). When we combined the rates for laboratory‐confirmed CLABSI and clinical CLABSI in a survival analysis, the incidence reduced significantly after introduction of the bundles (p = 0.02). There were no other variables that affected the outcome. Conclusion Cost‐effective care bundles reduced CLABSI in peripherally inserted central catheters using the modified Seldinger technique, despite the specific insertion skills that were required. The bundles of preventative measures may increase healthcare professionals’ awareness of the need to care for central catheters and reduce CLABSI infections.