2015 Volume 30 Issue 2 Pages 103-108
Maximum sterile barrier insertion and use of antiseptics during insertion are important for preventing central line-associated bloodstream infection (CLABSI). However, few studies have investigated the effect of medical care after the insertion of catheters. A procedure manual was developed showing the correct way to replace the intravascular catheter site dressing, and directed every nurse in charge to follow the manual. After standardizing the procedure, the CLABSI rate was compared before and after intervention. The CLABSI rate was 4.34 cases/1,000 catheter-days in the pre-intervention period (April 2012–March 2013) vs. 1.52 in the post-intervention period (April 2013–March 2014). This educational intervention focused on correct replacement of the catheter site dressing resulted in a significant decrease in the incidence of CLABSI.