Central line Associated Blood Stream Infections – Oncology Patients

Children with cancer and blood disorders often require catheters placed in large blood vessels.  These catheters are used to give fluids, chemotherapy, blood transfusions and intravenous nutrition.   These catheters are called Central lines.

When germs travel from a central line and enter the blood, it is called a Central Line Associated Blood stream infection (CLABSI).  These infections can cause delays in healing, longer time in the hospital and in some cases, can result in patient death.   Proper steps during placement and ongoing care of catheters can significantly decrease the rate of infections.

Our data:

The number of related infections in pediatric oncology patients per 1,000 catheter line days.  Each day the patient has a catheter in place counts as one catheter day.

What we are doing to improve:

  • Apply standard practices known as “bundles” that have been shown to reduce the rate of infections.
  • Monitor and report hand washing practices for providers and associates.
  • Ensure all providers and nurses are faithful to the bundle elements while caring for your child.
  • Review all infections to learn ways to decrease rate of infections going forward.
  • Remove catheters when they are no longer needed.


For more information:

CDC  https://www.cdc.gov/hai/pdfs/bsi/BSI_tagged.pdf

Joint Commission https://www.jointcommission.org/topics/hai_clabsi.aspx

CMS  https://partnershipforpatients.cms.gov/p4p_resources/tsp-centralline-associatedbloodstreaminfections/toolcentralline-associatedbloodstreaminfectionsclabsi.html

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