Murphy David J, Needham Dale M, Goeschel Christine, Fan Eddy, Cosgrove Sara E, Pronovost Peter J
Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Am J Med Qual. 2010 Jul-Aug;25(4):255-60. doi: 10.1177/1062860610364653. Epub 2010 Jun 4.
Central line-associated bloodstream infections (CLABSIs) acquired in health care institutions are common and costly. A novel monitoring and prevention program dramatically reduced CLABSIs across one state. The extent to which other states have adopted similar efforts is unknown. State hospital associations were surveyed regarding their efforts to address these infections. All 50 responding associations endorsed the importance of improving patient safety, health care quality, or health care-associated infections. Although 42 (84%) cited CLABSIs as a priority, only 11 (22%) provided statewide CLABSI rates. CLABSI programs were active in 6 (12%) states, and an additional 7 (14%) states were planning programs. Barriers identified included a lack of coordinated priorities, limited infrastructure, and inadequate resources. Although associations support efforts to improve health care quality, including CLABSI prevention, most lack coordinated statewide monitoring and prevention programs. A national collaborative to address CLABSIs may reduce these infections while building capacity to improve other aspects of health care quality.
医疗机构中获得性中心静脉导管相关血流感染（CLABSI）很常见且代价高昂。一项新颖的监测与预防计划显著降低了一个州的CLABSI发生率。其他州采用类似举措的程度尚不清楚。对各州医院协会就其应对这些感染所做的努力进行了调查。所有50个做出回应的协会都认可改善患者安全、医疗质量或医疗相关感染的重要性。尽管42个（84%）协会将CLABSI列为优先事项，但只有11个（22%）提供了全州的CLABSI发生率。CLABSI计划在6个（12%）州实施，另有7个（14%）州正在规划相关计划。发现的障碍包括缺乏协调一致的优先事项、基础设施有限以及资源不足。尽管协会支持改善医疗质量的努力，包括预防CLABSI，但大多数缺乏协调一致的全州监测与预防计划。开展一项全国性协作以应对CLABSI可能会减少这些感染，同时增强改善医疗质量其他方面的能力。
