Central Line Associated Blood-Stream Infection (CLA-BSI) rate

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CLA-BSI defined using CDC case definition.

Indicators
Indicator: Central Line Associated Blood-Stream Infection (CLA-BSI) rate
Created/Raw: Created
Program: Critical Care
Start Date:
End Date:
Reports: Directors Quarterly and Annual Report (Critical Care), STB ICUs VAP Rate, CLIBSI Rate Summary, WRHA ICU Hospital-Acquired Conditions


  • Cargo


  • SMW:
  • Categories
  • Default form:

Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital

QI domain

  • Safe

Significance

CLA-BSIs increase morbidity, mortality and costs. It can be prevented using evidence-based interventions. This measure can be used to detect changes related to implementation or lack of adherence to these best practices.

Sampling Plan / Procedure

Definition

The definition follows the definition Central Line.

Frequency

  • Recording the date the CLA-BSI occurred.
  • Daily recording of dates patients have CL or CVC
  • Total number of Central Line days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
  • Time Reference is calendar month, quarter or year.

Definition and Derivation

CLA-BSI per 1000 Central line days.

Numerator

Number of CLA-BSI incidence during the ICU stay of a reporting period

Denominator

Total Number of Central Line days at 2300 HR of a reporting period

Formula

CLA_BSI Rate Rate = Num / Denom * 1000

Data Sources

SAS Program

  • The SAS program to get the CLA_BSI is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
  • The SAS program to get the Central line Days is X:\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas
    • macro %tisscci23hr shows the generation of Central Line (CVC) present at 23 HR
  • The SAS program to get the CLA_BSI rate is X:\Julie\SAS_CFE\CFE_macros\VAPCLICAM.sas

Report Users

  • Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
  • St Boniface Cardiac Sciences Program (STB site only)
  • HSC Infection Prevention & Control (HSC site only)
  • WRHA Infection Prevention & Control

Related articles

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