By Denise Dixon. Catheter related blood stream infections (CRBSI) is a problem in our healthcare....
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Transcript of By Denise Dixon. Catheter related blood stream infections (CRBSI) is a problem in our healthcare....
Catheter Related Blood Stream Infection
By Denise Dixon
ProblemCatheter related blood stream infections
(CRBSI) is a problem in our healthcare. Many clinicians and patients struggle to over
come this epidemic. By identifying the problem we can begin to find a solution.
There are many ways to prevent CRBSI, it could be as simple as hand washing or choosing the correct catheter and site.
Research Question:
To prevent Catheter Related blood Stream Infection (CRBSI) and Thrombus (blood clots)
would size of the catheter, site of insertion, type of PICC line and care and maintenance
effect the outc0me?
Findings: Size3 French catheter 0% chance of thrombus
4 French catheter 1.1 % chance of thrombus
5 French catheter 6.6% chance of thrombus
6 French catheter 9.8 % chance of thrombus
Conclusion: the smaller the catheter the less chance of thrombus, which leads to decreased infection rates
Findings: SiteInfection Rates Thrombus Rates
Subclavian 1.2%
Jugular 4.5%
Femoral 15.3 %
Conclusion: The subclavian site is optimal
to decrease infection and thrombus rates
Subclavian 1.9%
Jugular 7.6%
Femoral 21.5%
* Tip of catheter should reside in the lower 1/3 of the Superior Vena Cava (SVC) to receive
optimal results
Findings: Type of PICC lineOcclusions Infections
Proximal valve 1.4%
Non- valved 6.3%
Conclusion: Proximal valve overall better choice to prevent
occlusions and infections
Proximal valve 4.2 %
Non-valved 5.5%
Findings: Techniques to reduce infection and thrombus in central venous catheters
Proper hand washingMaximum barrier technique during insertionAppropriate disinfection prior to access to
the lineAppropriate site of insertionAvoid multiple replacements
Conclusion•Smaller French catheter offers better chance to reduce infection and thrombus. • Subclavian site offers less chance of infection and thrombus.•Proximal valve PICC line has lower occlusion rates and less chance of infection•Proper technique will over all decrease catheter related blood stream infection and thrombus.