Central Line-Associated Bloodstream Infections (CLABSI) are preventable healthcare-associated infections often due to negligence, such as poor hand hygiene and improper catheter management. Effective prevention strategies include proper aseptic techniques, education for healthcare workers, and following CDC guidelines. Research indicates improved hand hygiene and effective training significantly reduce the incidence of CLABSI, showcasing the need for stringent adherence to preventive measures in healthcare settings.

1. Students’ Name(s)
BACKGROUND
• CLABSI is a bloodstream infection in
patients with a central line.
• A classis example of a Healthcare
Associated Infection (HAI).
• Negligence from the healthcare
professionals is a common cause.
• It occurs when germs and bacteria enter the
patient’s bloodstream via the central line.
• Patients, families and the healthcare
workers play an important role in the
prevention of this infection.
• CLABSI can be easily avoided with proper
insertion, and by taking care and cleaning
the central line.
• Main causes leading to this infection are
poor hand hygiene, improper catheter
insertion techniques, wrong selection of
catheter site, not performing skin antisepsis
and not removing unnecessary lines
immediately.
POPULATION AND INTERVENTION
• Clinicians and Healthcare organizations play
a major role when dealing with a CLABSI
infection cases.
• The CDC has come up with a checklist of
things that must be kept in mind to prevent
infections.
• These include proper aseptic insertion of the
central line, proper handling and
maintenance of the central line, prompt
removal of unnecessary lines, and
awareness amongst the healthcare
providers and organizations.
• Practicing proper hand hygiene is also a key
factor in prevention of CLABSI.
COMPARISON
• A research conducted in the year 2019 in India on the topic
of CLABSI prevention stated that practicing proper hand
hygiene and educating nurses and medical staff on CLABSI
prevention can drastically reduce the rates of CLABSI
cases (Azim, Acharya, Mishra, & Ipsita, 2019).
• Healthcare Associated Infections (HIAs) are an increasing
concern especially in the intensive care units (ICUs). And
according to Myatra (2019), 90% of such catheter related
infections occur due to CVCs, which are not properly
inserted into the vein. In her study, Myatra (2019)
mentioned that hand hygiene (HH) is one of the most
effective and cost-efficient way of preventing HIA’s.
• These interventions help to reduce CLABSI rates
significantly, as compared to patients who are not attended
to while keeping these things in mind.
CONCLUSION
• Positive outcomes can be achieved by
practicing prevention techniques and many
deaths can be avoided.
• Prevention techniques also reduce the
cost of the treatment significantly.
• Although CLABSI usually affects patients
in developing countries due to
underdeveloped medical systems, many
cases from developed countries also come
to surface each year due to malpractice.
• Multiple researches have been conducted
on this topic and they can easily help us to
conclude that only a preventive steps
taken by healthcare professionals can help
to significantly reduce the number of
CLABSI cases.
• These steps include following the proper
protocol for hand hygiene, skillful selection
and cleaning of the catheter site before
and after insertion, proper insertion and
prompt removal of any extra lines.
REFERENCES
• Azim, A., Acharya, R., Mishra, S. B., & Ipsita, S. (2019). Impact of
Nursing Education on CLABSI Rates: An Experience from a
Tertiary Care Hospital in Eastern India. Indian Journal of Critical
Care Medicine, 23(7), 316–319.
https://doi.org/10.5005/jp-journals-10071-23205
• CDC. (2010, November 25). Central Line-associated Bloodstream
Infection (CLABSI) | HAI | CDC. Retrieved January 15, 2020, from
https://www.cdc.gov/hai/bsi/bsi.html
• Haddadin, Y. (2019, December 9). Central Line Associated Blood
Stream Infections (CLABSI) - StatPearls - NCBI Bookshelf.
Retrieved January 15, 2020, from
https://www.ncbi.nlm.nih.gov/books/NBK430891/
• Illinois Department of Public Health. (n.d.). Illinois Hospital
Report Card and Consumer Guide to Health Care [Photograph].
Retrieved from
http://www.healthcarereportcard.illinois.gov/contents/view/blo
odstream_infections
• Myatra, S. (2019). Improving Hand Hygiene Practices to Reduce
CLABSI Rates: Nurses Education Integral for Success. Indian
Journal of Critical Care Medicine, 23(7), 291–293.
https://doi.org/10.5005/jp-journals-10071-23200
• This Image highlights some of the main ways in which a
Central Line Bloodstream Infection (CLABSI) may
initiate.
• Symptoms of the infection include redness, swelling or
discharge at the site of insertion.
• Other symptoms can include a fever, chills, respiratory
distress, tachycardia, etc.
CAUSES & SYMPTOMS
EBP Project Title
Your names
Supervised by: Dr. Hala Yehia
Nursing Sciences and Research Department
Evidence-Based Practice in Nursing – 1446