3 Tips to Prevent CLABSIs by Improving CVC Care

Central line-associated bloodstream infections are costly and often fatal.¹ Yet, most of them can be prevented through proper aseptic techniques, management strategies and training. In order to help identify the barriers to prevention, Medline examined two years of data associated with central venous catheter (CVC) care collected through its comprehensive Discovery Assessments. The study revealed several ways to help fill the gaps in CVC care practices.

1. Understand the appropriate site for CVC insertion. The subclavian vein is the preferred site in intensive care settings to reduce the risk of infections. However, in non-intensive care settings, the risk of infection between different insertion sites remains unclear. The choice of insertion site should consider patient anatomy, procedure indication and clinical variables.
2. Practice proper hand hygiene and aseptic technique, and don sterile gloves, masks and hairnets before dressing changes. The use of an alcoholic chlorhexidine antiseptic for skin preparation is also recommended.
3. Conduct training and competency assessments for healthcare personnel. Formal training on CVC indications, placement and maintenance, along with regular competency assessments, are recommended. Protocols or checklists should be used to ensure procedures are performed correctly, and staff should be empowered to stop procedures if breaches in aseptic technique are observed. By addressing the identified gaps and implementing best practices, healthcare facilities can significantly reduce the incidence of CLABSI and improve patient outcomes.

The Discovery Assessment data included

• 547 leadership interviews
• 464 inserter staff survey respondents
• 2,636 maintenance staff survey respondents
• 222 dressing change observations