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Choe and Kim: Comprehensive Approach to Prevention of Central Line-Associated Bloodstream Infection
Original Article

Korean J Nosocomial Infect Control 2013;18(2):33-38.

Published online: 5 January 2013

DOI: https://doi.org/10.14192/kjnic.2013.18.2.33

Comprehensive Approach to Prevention of Central Line-Associated Bloodstream Infection

Pyoeng Gyun Choe1, 2, Hong Bin Kim1, 3

Department of Internal Medicine, Seoul National University College of Medicine, Seongnam, Korea

Infection Control Office, Seoul National University Hospital, Seongnam, Korea

Seoul, Infection Control Office, Seoul National University Bundang Hospital, Seongnam, Korea

⋆This study was supported by the research grant from Korea Centers for Disease Control and Prevention (Project No. 2011E2101100).

Correspondence to: Hong Bin Kim, Infection Control Office, Seoul National University Bundang Hospital, 82, 173beon-gil, Gumi-ro, Bundang-gu, Seongnam 463-707, Korea Tel: 031-787-7021, Fax: 031-78704052 E-mail: hbkimmd@snu.ac.kr

Received 24 May 2013       Accepted 18 October 2013

Copyright © 2013 Korean Society for Nosocomial Infection Control

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Central lines are indispensable in hospital care. The main complication resulting from their use is central line-associated bloodstream infection (CLABSI). CLABSI is one of the most frequent healthcare-associated infections associated with high costs, morbidity, and potential lethality. Recent studies on CLABSI prevention show that a multifaceted approach to improving central line insertion and maintenance practices results in decreased CLABSI rates. The question today, then, is not ‘what to do,’ but ‘how to do it.’

Keywords: Catheter-related infection, Central venous catheter, Comprehensive health care, Prevention

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Table 1.
Michigan bundle of five memorizable items for preventing central line-associated bloodstream
Hand washing
Using full barrier precaution
Cleaning the skin with chlorhexidine
Avoiding the femoral site when possible
Removing unnecessary catheters
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