Blood Stream Infections

ghmccart · May 18, 2007

what do you mean by that, do you mean bacteremia, sepsis, severe sepsis, septic shock? that is a veryt broad and lay way to ask that question, perhaps you can focus it. :monkeydance:

tylerl · May 26, 2007

Bundle: MD / MD assistant:

1) wash hands before starting

2) sterile gowns, gloves, mask, cap, and towels.

3) Using Chlora-prep

4) Using subclavian as the primary site. Unless contraindicated

5) Routine drsg changes and changing the caps on the central line

Some units ie burn and surgical pts get an Antibiotic coated TLC.

:monkeydance:

brutuss7 · May 26, 2007

what do you mean by that, do you mean bacteremia, sepsis, severe sepsis, septic shock? that is a veryt broad and lay way to ask that question, perhaps you can focus it. :monkeydance
OK, what I mean is central line related blood stream infections, primary and secondary as defined by the CDC. We have an infusion team in our hospital and since they began in Nov 05, the rates have dropped well below the CDC benchmark.
One thing we do is change our positive pressure caps every day. Since then the rates consistently have been low whereas before, there were highs and lows with no common denominator (that we know of).
Just wanted to see what others are doing. Thanks for replying to the thread.

BBFRN, BSN, PhD · Jun 14, 2007

We will be starting sepsis bundles in our hospital soon. We had such a positive response with our vent bundles, that I think it's a great idea. One of the things that will be included in the sepsis bundle will be obtaining lactic acid levels to detect early septic shock.

http://www.ihi.org/IHI/Topics/CriticalCare/Sepsis/Changes/ImplementtheSepsisResuscitationBundle.htm

Check out the above link for more info on sepsis resuscitation and/or management bundles.

BBFRN, BSN, PhD · Jun 14, 2007

http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementtheCentralLineBundle.htm

And here's the central line bundle.