Authors: Jacqueline E Taylor Susan J McDonald Arul Earnest Jim Buttery Bree Fusinato Samantha Hovenden Andrea Wallace Kenneth Tan
Publish Date: 2017/03/10
Volume: 176, Issue: 5, Pages: 639-646
Abstract
Central line associated blood stream infections CLABSI are the most common complication of central catheters in neonates These infections increase length of hospital stay hospital costs and impact on mortality and morbidities We performed a quasiexperimental study over 24 months utilising a prepost design to determine the impact checklists had on central line infections We introduced checklists for insertion daily maintenance and procedural access based on the existing clinical guideline Infections and compliance were monitored and reported back to the unit each month We utilised the interrupted time series analysis to evaluate the impact of introduction of the checklists Over the 24 months 318 infants were included with a total of 509 central lines inserted In the post intervention phase definite CLABSI rates declined by 41 from 138 definite CLABSIs per 1000 centralline days to 78 definite CLABSIs per 1000 centralline days There was significant change in the mean levels in the post intervention phase coefficient crude −001015 95 CI −001980–000051 p value 0039 Checklist compliance for insertion was 70 and daily maintenance compliance overall mean was 66
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