Infections & Organisms: Central line-associated bloodstream infections (CLABSI)

Central Line-Associated Bloodstream Infection (CLABSI) (part of SHEA Prevention CHKC)

This is a module that is part of the SHEA Prevention CHKC Course (Course in Healthcare Associated Knowledge and Control). It focuses on best practices for preventing CLABSIs. It provides the learner with the tools and information to recognize appropriate indications for using central lines, and to describe proper care of catheters. It explains the framework of the CLABSI definition, but the definition is not as thorough or precise as the NHSN definition.

Foundational
ABIM-MOC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Central Line
Central line-associated bloodstream infections (CLABSI)
CEU
Clinical / Direct Healthcare Personnel
CME
English
Home Health
Infection Preventionists
Interactive
Nursing Home / Skilled Nursing Facility (SNF)
Paid
Pediatric / NICU
SHEA
Slideshow
Video

CDC Approach to BSI Prevention in Dialysis Facilities

This is a poster listing CDC guidelines for preventing bloodstream infections in the dialysis setting.

Foundational
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Ambulatory (Outpatient) Care
CDC
Central line-associated bloodstream infections (CLABSI)
Clinical / Direct Healthcare Personnel
Department of Health
Dialysis
English
Free
Hand Hygiene
Infection Preventionists
Poster
Print Resources
Quality Improvement

Preventing Bloodstream Infections in Outpatient Hemodialysis Patients

This video contains five segments with best practices on how to prevent infection in patients with catheters, fistulas or grafts. It also includes segments on hand hygiene and glove use and dialysis station disinfection. The video is intended to be used by outpatient hemodialysis facilities as an educational tool to help remind their frontline staff, including technicians and nurses, about infection prevention measures. It can be used as an orientation video for new staff and as an annual in-service training tool to remind staff of proper protocols.

Intermediate
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Ambulatory (Outpatient) Care
Bloodborne Pathogens
CDC
Central line-associated bloodstream infections (CLABSI)
Clinical / Direct Healthcare Personnel
Closed Captioning
Department of Health
Dialysis
English
Free
Hand Hygiene
Infection Preventionists
Injection Safety
Personal Protective Equipment (PPE)
Standard Precautions
Video

Quick Observation Tool – Central Venous Catheter

This tool is designed for a team to conduct a quick observation in 10-15 minutes, and is encouraged to be performed by staff members. It assesses elements of care for central venous catheters as can be observed “in real time” It can be printed as a 2-sided “card”.

CDC 

IPC Foundational Level 

English 

Print Resources 

Checklist

Downloadable 

Nonclinical / Indirect Healthcare Personnel 

Clinical / Direct Healthcare Personnel 

Infection Preventionist 

Patients, Family, Visitors, Unpaid Caregivers 

Assisted Living Facility (ALF) 

Nursing Home / Skilled Nursing Facility (SNF) 

Acute Care Rehabilitation Hospital or Long-term Care Acute Hospital (LTACH) 

Acute Care Hospital 

Pediatric/NICU 

Central Line

Auditing/ Observation/ Monitoring/ Assessment Tools

Quality Improvement

Risk Assessment

Central Line-Associated Bloodstream Infection (CLABSI)

NHSN Healthcare-associated Infection (HAI) and Present on Admission (POA) Worksheet Generator

This is an electronically generated worksheet that outlines the infection window period, the repeat infection timeframe, and when appropriate, the secondary BSI Attribution Period. It can be used for multiple site-specific infection types (e.g. BSI, UTI and PNEU). The user independently determines if all NHSN infection criteria are met. It requires that javascript is enabled.

 Foundational
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
CDC
Central line-associated bloodstream infections (CLABSI)
Data Analysis
English
Free
Infection Preventionists
Pediatric / NICU
Surveillance
Urinary Tract Infections (UTI) & Catheter associated urinary tract infection (CAUTI)

Prevention CHKC (Course in Healthcare-Associated Infection Knowledge and Control)

This is a course created by the Society for Healthcare Epidemiology of America (SHEA). It is designed to train frontline personnel in best practices to prevent and control HAIs and pathogens that can spread in the healthcare setting. It consists of 11 modules (including prevention of CLABSI, CAUTI, SSI, VAP/VAE, C. difficile MRSA) and how to improve understanding of disinfection and sterilization. This is a course created by the Society for Healthcare Epidemiology of America (SHEA). It is designed to train frontline personnel in best practices to prevent and control HAIs and pathogens that can spread in the healthcare setting. It consists of 11 modules (including prevention of CLABSI, CAUTI, SSI, VAP/VAE, C. difficile MRSA) and how to improve understanding of disinfection and sterilization.

Foundational
ABIM-MOC
Activity Included
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Air Quality
Antimicrobial & Diagnostic Stewardship
Assisted Living Facility (ALF)
Auditing / Observation / Monitoring / Assessment Tools
Central Line
Central line-associated bloodstream infections (CLABSI)
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Closed Captioning
CME
CNE
Construction
COVID-19
Data Analysis
Emergency Preparedness & Operations
Employee/Occupational Health
English
Gastrointestinal Infections
Hand Hygiene
High Level Disinfection
Infection Preventionists
Interactive
Laboratory Collection and Interpretation
Multidrug-Resistant Organism (MDRO)
Nursing Home / Skilled Nursing Facility (SNF)
Outbreak Investigation
Paid
Personal Protective Equipment (PPE)
Physical Environment / Environment of Care (EOC)
Post-Training Support Materials
Quality Improvement
Respiratory Infections
Risk Assessment
SHEA
Standard Precautions
Sterile Processing
Surgical site infections (SSI)
Surveillance
Transmission-Based Precautions
Urinary Catheter
Urinary Tract Infections (UTI) & Catheter associated urinary tract infection (CAUTI)
Ventilator
Ventilator-associated events (VAE), including pneumonia (VAP)

Mortality Attribution Tool

This tool provides an estimate of the number of healthcare-associated infection-related (HAI) deaths that occur over a given time period, an estimate of the number of lives that could be saved through a reduced HAI rate, and the option to add information about an intervention that could help achieve an applicable HAI reduction.

Intermediate
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
APIC
Auditing / Observation / Monitoring / Assessment Tools
Central line-associated bloodstream infections (CLABSI)
Data Analysis
English
Free
Infection Preventionists
Interactive
Multidrug-Resistant Organism (MDRO)
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Quality Improvement
Surgical site infections (SSI)
Urinary Tract Infections (UTI) & Catheter associated urinary tract infection (CAUTI)
Ventilator-associated events (VAE), including pneumonia (VAP)

Creating Team Buy-In to Work Toward Zero Preventable Infections in ICUs

This is a 4:24 minute video that is part of the AHRQ Safety Program for Intensive Care Units. It presents practices that can help motivate ICU teams to work toward zero preventable infections, such as inviting team input on infection prevention goals, encouraging collaborations and providing resources to address questions or doubts.

Intermediate
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
AHRQ
Auditing / Observation / Monitoring / Assessment Tools
Central line-associated bloodstream infections (CLABSI)
Clinical / Direct Healthcare Personnel
English
Free
Infection Preventionists
Pediatric / NICU
Quality Improvement
Urinary Tract Infections (UTI) & Catheter associated urinary tract infection (CAUTI)

CLABSI and CAUTI Learn From Defects Tools

This is a starting point for two types of tools that cn be used for Central line -associated bloodstream infections (CLABSIs) or catheter associated urinary tract infections (CAUTIs). They are intended to be used by ICU personnel to identify and address system defects that may have contributed to an infection.

Intermediate
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
AHRQ
Auditing / Observation / Monitoring / Assessment Tools
Central Line
Central line-associated bloodstream infections (CLABSI)
Clinical / Direct Healthcare Personnel
English
Free
Infection Preventionists
Pediatric / NICU
Quality Improvement
Urinary Catheter
Urinary Tract Infections (UTI) & Catheter associated urinary tract infection (CAUTI)

Central Venous Catheter Removal – Prompting Removal of Unnecessary Catheters

This is a presentation with 18 slides designed to help an ICU as part of a CLABSI reduction program to assure central catheters are removed when no longer needed. It advises daily assessment, the identification of physician and nurse champions, and leadership support.  It has an accompanying facilitator guide at https://www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx

Intermediate

Acute Care Hospital

Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)

AHRQ

Auditing / Observation / Monitoring / Assessment Tools

Central Line

Central line-associated bloodstream infections (CLABSI)

Clinical / Direct Healthcare Personnel

English

Facilitator Guide

Free

Infection Preventionists

Pediatric / NICU

Quality Improvement