Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections

J. Schulman, R. L. Stricof, T. P. Stevens, I. R. Holzman, E. P. Shields, R. M. Angert, R. S. Wasserman-Hoff, Suhas M. Nafday, L. Saiman

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Objective: To characterize hospital-acquired bloodstream infection rates among New York State's 19 regional referral NICUs (at regional perinatal centers; RPCs) and develop strategies to promote best practices to reduce central line-associated bloodstream infections (CLABSIs). Study Design: During 2006 and 2007, RPC NICUs reported bloodstream infections, patient-days and central line-days to the Department of Health, and shared their results. Aiming to improve, participants created a central line-care bundle based on visiting a potentially best performing NICU and reviewing the literature. Result: All 19 RPCs participated in this quality initiative, contributing 218096 patient-days and 56911 central line-days of observation. Individual RPC nosocomial sepsis infection (NI) rates ranged from 1.0 to 5.8 NIs per 1000 patient-days (2006), and CLABSI rates ranged from 2.6 to 15.1 CLABSIs per 1000 central line-days (2007). A six-fold rate variation among RPC NICUs was observed. Participants unanimously approved a level-1 evidence-based central line-care bundle. Conclusion: Individual RPC rates and consequent morbidity and resource use attributable to these infections were substantial and varied greatly. No center was without infections. It is hoped that the cooperation and accountability exhibited by the RPCs will result in a major network for characterizing performance and improving outcomes.

Original languageEnglish (US)
Pages (from-to)591-599
Number of pages9
JournalJournal of Perinatology
Volume29
Issue number9
DOIs
StatePublished - 2009

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Infection
Patient Care Bundles
Social Responsibility
Cross Infection
Practice Guidelines
Sepsis
Referral and Consultation
Observation
Morbidity
Health

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Schulman, J., Stricof, R. L., Stevens, T. P., Holzman, I. R., Shields, E. P., Angert, R. M., ... Saiman, L. (2009). Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections. Journal of Perinatology, 29(9), 591-599. https://doi.org/10.1038/jp.2009.18

Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections. / Schulman, J.; Stricof, R. L.; Stevens, T. P.; Holzman, I. R.; Shields, E. P.; Angert, R. M.; Wasserman-Hoff, R. S.; Nafday, Suhas M.; Saiman, L.

In: Journal of Perinatology, Vol. 29, No. 9, 2009, p. 591-599.

Research output: Contribution to journalArticle

Schulman, J, Stricof, RL, Stevens, TP, Holzman, IR, Shields, EP, Angert, RM, Wasserman-Hoff, RS, Nafday, SM & Saiman, L 2009, 'Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections', Journal of Perinatology, vol. 29, no. 9, pp. 591-599. https://doi.org/10.1038/jp.2009.18
Schulman, J. ; Stricof, R. L. ; Stevens, T. P. ; Holzman, I. R. ; Shields, E. P. ; Angert, R. M. ; Wasserman-Hoff, R. S. ; Nafday, Suhas M. ; Saiman, L. / Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections. In: Journal of Perinatology. 2009 ; Vol. 29, No. 9. pp. 591-599.
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