Abstract
A retrospective study in 2006 to examine the state of central line-associated bloodstream infection (CLA–BSI) in our Intensive Care Unit found that the rate of CLA–BSI was 7.82 (per 1,000 catheter days), which was extremely high. Therefore, the ICT conducted surveillance of CLA–BSI from 2007, and assessed various interventions for preventing CLA–BSI. The efficacy of infection control ensured that the rate was reduced to 1.9 in the latter half year of 2011, compared with 5.9 in the former half of 2007, when such interventions were started. These results confirmed that introducing various interventions for prevention and infection control, as well as avoiding catheter-indwelling in the femoral vein, and introducing both closed systems of infusion catheter lines and maximal barrier precautions, have helped to reduce the rate of CLA–BSI. The ICT must continue to monitor and reduce CLA–BSI, to prevent a crisis of CLA–BSI and provide feedback to medical personnel.
