Prevention of catheter related blood stream related infections

Prevention of catheter related blood
stream related infections

CRBSIs have been an issue in the heath care sector and efforts
have been made to address the problem (Berenholtz et al,

Clinicians have used emerging technologies, advancements in
the evidence base, and promotion to facilities administration
and infection prevention (Dimick et al, 2001).

Study has been carried out to identify several recommendations
that have been divided into categories (Dimick et al, 2001).

However, current research shows that non-technological
approaches to CRNSIs prevention have been highly effective
(Safdar & Maki, 2005).

Evidence-Based Practice Presentation

Choose a nursing problem from your current practice setting, and identify a
possible solution to that problem.

Conduct a search of the literature related to this problem.

Analyze and critically appraise evidence-based literature to support the solution to
the identified problem. A minimum of (5) article must be identified. This may
include guidelines from the National Guideline Clearinghouse, Joanna Briggs
Institute, or a review from the Cochrane Database of Systematic Review.

Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation
related to the problem, evidence appraisal, and practice implications.

Include the following components into the presentation:

  1. Present the nursing practice problem with the PICO question.
  2. Discuss your appraisal of the literature that addresses the problem.
  3. Present the proposed practice changes from an integration of the findings.

While APA format is not required for the body of this assignment, solid academic
writing is expected and in-text citations and references should be presented using
APA documentation guidelines, which can be found in the APA Style Guide.

Categories of intervention

Providing healthcare worker and patient education.


Catheter selection

Catheter site selection

Maximum sterile barrier precautions

Cutaneous antisepsis

Catheter and catheter site care

Catheter replacement strategies

General catheter management strategies (Berenholtz et al,

Sustainability of the interventions

Studies have shown that the intervention methods for the
reduction of CRBSI infections are effective due to the reduction
of the infections after their use (Pronovost et al, 2006).

Integrating these interventions in health care consistently can
lead to a successful prevention of the infections (Pronovost et al,

This success in prevention led to a reduction in morbidity and
costs that are linked to catheter blood stream infections
(Pronovost et al, 2006).

this shows that if these intervention methods are used
consistently, they can lead to the elimination of CRBSIs which
has developed to be a major concern in the health sector
(Berenholtz et al, 2004).


Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., … & Goeschel,
C. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU.
New England Journal of Medicine, 355(26), 2725-2732.

Berenholtz, S. M., Pronovost, P. J., Lipsett, P. A., Hobson, D., Earsing, K., Farley, J. E., … &
Perl, T. M. (2004). Eliminating catheter-related bloodstream infections in the intensive care
unit*. Critical care medicine, 32(10), 2014-2020.

Dimick, J. B., Pelz, R. K., Consunji, R., Swoboda, S. M., Hendrix, C. W., & Lipsett, P. A.
(2001). Increased resource use associated with catheter-related bloodstream infection in the
surgical intensive care unit. Archives of surgery, 136(2), 229-234.


Safdar, N., & Maki, D. G. (2005). Risk of catheter-related bloodstream infection with
peripherally inserted central venous catheters used in hospitalized patients. Chest,
128(2), 489-495.

O’Grady, N. P., Alexander, M., Dellinger, E. P., Gerberding, J. L., Heard, S. O., Maki, D.
G., … & Pearson, M. L. (2001). Draft guideline for the prevention of intravascular
related infections. Atlanta, GA: Centers for Disease Control and
Prevention, Division of Healthcare Quality Promotion.

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