Background: Central line-associated infections (CLABSI) are life-threatening nosocomial infections that are associated with significant increase in healthcare expenditure, prolonged stays, and risk of mortality.
Objective: To identify outcome trends and risk factors that contribute to incidence of CLABSI at an 866-bed acute care hospital in South Texas.
Methods: A retrospective chart review was conducted on 38 patients who met the National Healthcare Safety Network criteria for CLABSI during the period of January 2021 to March 2022
Results: There was a total of thirty-two CLABSIs in 2021. Hospital-wide CLABSI rate was 1.76 hospital-wide per 1,000-line days. Half of cases were COVID-19 positive with 59% of the infections occurring between August and October. Overall mortality rate for CLABSI in 2021 was 56%. COVID-19 positive patients with CLABSI had a mortality rate of 87.5% vs 25% in COVID-19 negative patients. From January to March 2022, there was six CLABSIs. Hospital-wide CLABSI incidence rate was 1.09 per 1,000-line days. Half were COVID-19 positive. Overall mortality rate for CLABSI in 2022 is 50%. COVID-19 positive patients with CLABSI had a mortality rate of 66.7% vs 33.3% in COVID-19 negative patients.
Conclusions: The COVID-19 pandemic has had a significant impact on incidence of CLABSI this South Texas Hospital. The peak of CLABSI incidence correlates with the trends of COVID cases within the U.S.
Nguyen, Hoang Anh T. and Campo Maldonado, Jose E., "Quality Improvement in a Hospital Setting: Central Line-Associated Bloodstream Infections at an Acute Care Hospital in South Texas" (2022). MEDI 9331 Scholarly Activities Clinical Years. 61.