Reducing pediatric ambulatory central line-associated bloodstream infections in patients at a single institution home health agency

Am J Infect Control. 2024 Oct;52(10):1195-1201. doi: 10.1016/j.ajic.2024.06.003. Epub 2024 Jun 11.

Abstract

We conducted a quality improvement project from 2019 to 2021 at a single home health agency to reduce rates of central line-associated bloodstream infection in our ambulatory pediatric population. Annualized central line-associated bloodstream infection rates per 1,000 catheter line days decreased by 20 % during the study period, from a rate of 1.023 to 0.810. This decrease was sustained in the 10-month post-study period with a center line shift of 1.090 to 0.658.

Keywords: Quality improvement.

MeSH terms

  • Adolescent
  • Ambulatory Care
  • Bacteremia / epidemiology
  • Bacteremia / prevention & control
  • Catheter-Related Infections* / epidemiology
  • Catheter-Related Infections* / prevention & control
  • Catheterization, Central Venous* / adverse effects
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Infection Control / methods
  • Infection Control / standards
  • Male
  • Quality Improvement
  • Sepsis / epidemiology
  • Sepsis / prevention & control