Posts Tagged ‘Bloodstream infections’

Hospital Bloodstream Infection Rates Go Online

February 23rd, 2012

Bloodstream infections that start because of a “central line” in a person’s body are among the most serious of all healthcare-associated infections- causing thousands of deaths each year and about $700M in added costs.  The CDC estimates that there were about 41,000 infections like these U.S. hospitals last year…  and 25% percent of patients who get a central line associated bloodstream infection will die from it.  Each patient with an infection like this costs about $17K extra to boot. 

As is the case with everything in public health, measuring and reporting rates of central line associated bloodstream infections (called CLABSIs) is a key ingredient in developing effective interventions to reduce these deadly and expensive (and often preventable) infections.  To that end, this week Centers for Medicare & Medicaid Services added data about how often these preventable infections occur in hospital intensive care units across the country to their Hospital Compare website.  Providing data that will help hospitals and the public health system to bring down these rates, saving thousands of lives and millions of dollars each year.  

The data on the website comes from data reported from hospital ICUs to CDC’s National Healthcare Safety Network (NHSN).  In many places, this is the first time consumers can see how well their local hospitals prevent CLABSIs, one of the most deadly healthcare-associated infections.  You can also read more and join the conversation at http://blogs.cdc.gov/safehealthcare/

Hospital Compare also provides a host of additional indicators about the quality of care provided in over 4,700 of America’s acute-care, critical access and children’s hospitals.  The website features free, easy-to-use information about these hospitals, including mortality and readmission rates for each, along with 10 measures that capture patient experience with hospital care, 17 measures that assess patient safety at each hospital, 25 process-of-care measures and three children’s asthma care measures.

Healthcare Associated Infections Report

March 7th, 2011

Good news this time.  The number of bloodstream infections in intensive care unit patients with central lines decreased by 58% over the last 10 years according to a new CDC Vital Signs report. This decrease saved 27,000 lives and $1.8B in excess health care costs. Bloodstream infections in patients with central lines can be deadly, killing as many as 1 in 4 patients who gets one.

Most hospital Infectious Disease Committees follow central line infections very closely these days. Back in the day (about 10-15 years ago), it was common practice to put in central lines at the bedside with only a pair of sterile gloves. Now most hospitals require full gowning, face mask, and cap, along with full sterile draping of the patient. This is even required now in many ORs for central lines put in patients right before surgery.

You can check out our website dedicated to preventing Healthcare Associated Infections.   We also help facilitate communication through the hospital association for facilities that are participating in the national collaborative “On the Cusp” to prevent blood stream infections.  Part of our strategic initiatives for 2011 is to help address blood stream infections in hemodialysis units so our prevention efforts will be extending beyond acute care hospitals.

By the way- a “central line” and a simple “IV” are different things.  Central lines are inserted into large veins  and are pretty big because they need to handle a large volume.  Simple IV’s usually go into veins.  IV’s have a much lower risk of infection.