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.