UMMS Affiliation

Department of Anesthesiology; Department of Medicine, Division of Infectious Diseases and Immunology; Department of Quantitative Health Sciences

Publication Date


Document Type



Catheters, Indwelling; Catheterization, Central Venous; Catheter-Related Infections; Bacteremia


Anesthesia and Analgesia | Anesthesiology | Bacterial Infections and Mycoses | Critical Care


Introduction: CLABSI remains a significant problem in the intensive care unit.

Hypothesis: A multimodal approach for the insertion and care of CVC will prevent CLABSI.

Methods: A Critical Care Operations Committee was formed to transform care in 8 intensive care units (ICU) in an academic medical center in 9/2004. One goal was to reduce CLABSI. Using evidence based medicine, a clinical practice guideline was developed that incorporated the use of maximum barrier precautions, chlorhexidine skin preparation, avoidance of the femoral insertion site, dedicated catheter cart, a check list, the tracking of high risk CVC, anti-septic or antimicrobial impregnated catheters, a recommendation to use ultrasound guidance when inserting CVC in the internal jugular vein, daily determination of the need for the CVC and treatment of CLABSI as a critical event.CLABSI were adjudicated by the hospital epidemiologist and CVC days were tracked. Rates of CLABSI were followed from 9/2004 through 7/2011. The Spearman correlation coefficient was used for statistical evaluation. A p

Results: CLABSI rates (per 1000 catheter-days) declined dramatically from 2004 to 2011 (p

Conclusions: A multimodal approach to CVC insertion and care reduces CLABSI by over 90%. Our ultimate goal is the complete eradication of CRBSI in our institution.


Central Line Associated Blood-Stream Infections, CLABSI, ICU, intensive care unit, critical care

Rights and Permissions

Copyright 2012 The Author(s)

DOI of Published Version



Walz J, Ellison R, Flaherty H, McIlwaine J, Mack D, Whyte K, Heard S. Effect of a multidisciplinary team approach to eradicate central venous catheter (CVC) bloodstream infections (CRBSI). Crit Care Med 2011;39 (Suppl):161.

Journal/Book/Conference Title

2012 Critical Care Congress


Poster presentation at the Society of Critical Care Medicine’s 41st Critical Care Congress in Houston, Texas, February 4-8, 2012.