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) and have been reporting on a quarterly basis since then. For more information on these data and the state regulation mandating their reporting, please see Public Reporting page.
In January 2011, the Centers for Medicare and Medicaid Services (CMS) began requiring acute care hospitals participating in their Inpatient Prospective Payment System (IPPS) to report CLABSIs in adult, pediatric, and neonatal intensive care units. These data will be made publicly available on Hospital Compare.
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
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.
VHQC – Healthcare-Associated Infections section contains central line daily assessment form and central line insertion practices monitoring toolFor more patient resources, please see the Consumer and Public Information page or go to the CDC CLABSI website.