Some patients may be at higher risk for developing a CLABSI due to length of hospitalization before catheterization, duration of catheterization, prematurity, underlying medical conditions, location of catheter placement, or other factors. (citation) It is important that both the patient and the healthcare providers take the appropriate steps to help prevent an infection.
Estimated burden of CLABSIs in healthcare facilities in the United States:
In July 2008, Virginia hospitals with one or more adult intensive care units began reporting their CLABSI data to the Virginia Department of Health (VDH) through the National Healthcare Safety Network (NHSN).
In January 2011, the Centers for Medicare and Medicaid Services (CMS) began requiring acute care hospitals participating in their Hospital Inpatient Quality Reporting Program (IQR) to report CLABSIs in adult, pediatric, and neonatal intensive care units. In January 2015, CMS began requiring acute care hospitals to report CLABSIs in adult and pediatric medical, surgical, and medical/surgical inpatient wards. Critical care data are currently available and inpatient ward data will soon be available to the public on Hospital Compare.
In September 2015, the VDH reporting regulations were updated to align state reporting requirements with the CMS Hospital Inpatient Quality Reporting Program. Under the new regulations, hospitals are reporting CLABSI data to VDH through NHSN for adult, pediatric, and neonatal critical care units and adult and pediatric medical, surgical, and medical/surgical inpatient wards. For more information on these data and the state regulations mandating their reporting, please see Public Reporting page
Other CMS quality reporting programs require CLABSI reporting from long-term acute care hospitals (adult and pediatric critical care units and ward locations - October 2012 to present).
VDH HAI Program activities to address this issue:
CDC CLABSI toolkit for non-intensive care unit (ICU) settings – contains background on epidemiology of CLABSIs as well as core and supplemental prevention strategies
AHA/HRET Hospital Engagement Network 2.0 – change package, improvement strategies, checklist, and other resources
CDC National Healthcare Safety Network (NHSN) Validation Guidance and Toolkit for 2012: Validation for Central Line-Associated Bloodstream Infection (CLABSI) in Intensive Care Units – resource to assist with internal or external validation of CLABSI data from ICUs. Includes recommended approaches to investigate and enhance the accuracy and completeness of 2012 CLABSI data in NHSN.
CDC Vital Signs Report: Making Health Care Safer – Reducing Bloodstream Infections (March 2011) – latest findings of progress on CLABSI prevention in different healthcare settings (hospitals and dialysis centers)
Comprehensive Unit-Based Safety Program (CUSP) – safety project designed to improve safety culture and reduce CLABSI infections in participating hospitals. In Virginia, this project is led by the state hospital association, Virginia Hospital & Health Association (VHHA).
NHSN CLABSI protocol, training, forms, analysis resources, and support materials – click on the appropriate healthcare setting and select the CLABSI link to access the materials
SHEA Patient Education Guide (BSI) – fact sheet that educates patients and their families about 7 types of HAIs (including CLABSIs) and how to work with healthcare professionals to prevent them.