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CLABSI Prevention Information

What is CLABSI?

  • Central line-associated blood stream infections (CLABSI)
  • Required data point for reporting hospital-acquired infections (HAI)
  • Four recognized routes for contamination:
  1. migration of skin organisms near insertion site
  2. direct contamination of catheter or hub by contact with hands or other devices or fluids
  3. less commonly, catheters may be contaminated from another source of infection within the body
  4. rarely, contamination of infusate

CLABSI Risk Factors

  • Multiple catheters and/or lumens
  • Emergency insertion
  • Prolonged duration of need for line
  • Prolonged hospital stay prior to insertion
  • Excessive manipulation of catheter line
  • Neutropenia
  • Prematurity
  • Total parenteral nutrition

Why is CLABSI Prevention Important?

  • CLABSI contributes to extended hospital stay with increased health care costs and risk of mortality (CDC, 2015)
  • Mortality for CLABSI is among the highest of the HAI (Joint Commission, 2012)
  • Evidence-based practice changes have been shown to reduce the rate of CLABSI (Joint Commission, 2012)

How is CLABSI Prevented?

Evidence-based best practices (CDC, 2011):

  • Staff education: All health care providers who insert and/or maintain I.V. catheters must be trained in appropriate catheter use and infection prevention
  • Appropriate selection of catheter and site
  • Sterile technique with insertion and ongoing care
    • Hand hygiene: before touching patient, before procedure, after touching patient, after touching patient’s surroundings
    • Skin antisepsis
    • Hub and access port disinfection

Supplemental Strategies

  • Chlorhexidine bathing
  • Antimicrobial-impregnated catheters
  • Chlorhexidine-impregnated dressings

References & Resources

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Oregon Nurses Association
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