Current practices used for the prevention of central venous catheter-associated infection in hematopoietic stem cell transplantation recipients: A survey from the Infectious Diseases Working Party and Nurses' Group of EBMT

E. Snarski, A. Mank, S. Iacobelli, J. Hoek, J. Styczyński, A. Babic, S. Cesaro, E. Johansson

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Central line-associated bloodstream infection (CLABSI) is one of the most common infectious complications after hematopoietic stem cell transplantation. To prevent this complication, international guidelines recommend the implementation of the CLABSI 'prevention bundle' consisting of hand hygiene, full barrier precautions, cleaning the insertion site with chlorhexidine, avoiding femoral sites for insertion, and removing unnecessary catheters. The aim of this survey was to analyze to what extent European Group for Blood and Marrow Transplantation (EBMT) centers have included the CLABSI prevention bundle in practice. Methods: A questionnaire used for data collection was sent to the 545 EBMT centers worldwide, 103 of which responded. Results: All 5 components of the CLABSI prevention bundle were recorded in 28% of the centers' standard operating procedures (SOP), and 21% of the centers answered that they used all of the bundle components in clinical practice. The most common recommendation absent from the SOP was specification of all the components of full barrier precautions (43% of the centers did not include at least 1 component). Skin disinfection with chlorhexidine before catheter insertion was reported by 66% centers. CLABSI rates were monitored in 21% of centers. Conclusions: Although most of the centers lacked 1 or more of the CLABSI prevention bundle components in their SOP, improvements could easily be made by updating the centers' SOP. The first important step is introduction of CLABSI rate monitoring in this high-risk patient population.

Original languageEnglish
Pages (from-to)558-565
Number of pages8
JournalTransplant Infectious Disease
Volume17
Issue number4
DOIs
Publication statusPublished - Aug 1 2015

Fingerprint

Catheter-Related Infections
Central Venous Catheters
Hematopoietic Stem Cell Transplantation
Blood Group Antigens
Communicable Diseases
Transplantation
Bone Marrow
Nurses
Infection
Chlorhexidine
Catheters
Hand Hygiene
Disinfection
Thigh
Surveys and Questionnaires
Guidelines
Skin
Population

Keywords

  • CLABSI
  • HSCT
  • Central venous catheter
  • Hematopoietic stem cell transplantation
  • Infection prevention

ASJC Scopus subject areas

  • Transplantation
  • Infectious Diseases

Cite this

Current practices used for the prevention of central venous catheter-associated infection in hematopoietic stem cell transplantation recipients : A survey from the Infectious Diseases Working Party and Nurses' Group of EBMT. / Snarski, E.; Mank, A.; Iacobelli, S.; Hoek, J.; Styczyński, J.; Babic, A.; Cesaro, S.; Johansson, E.

In: Transplant Infectious Disease, Vol. 17, No. 4, 01.08.2015, p. 558-565.

Research output: Contribution to journalArticle

@article{0de5c553f49c4eb28dd18cce2fa96242,
title = "Current practices used for the prevention of central venous catheter-associated infection in hematopoietic stem cell transplantation recipients: A survey from the Infectious Diseases Working Party and Nurses' Group of EBMT",
abstract = "Background: Central line-associated bloodstream infection (CLABSI) is one of the most common infectious complications after hematopoietic stem cell transplantation. To prevent this complication, international guidelines recommend the implementation of the CLABSI 'prevention bundle' consisting of hand hygiene, full barrier precautions, cleaning the insertion site with chlorhexidine, avoiding femoral sites for insertion, and removing unnecessary catheters. The aim of this survey was to analyze to what extent European Group for Blood and Marrow Transplantation (EBMT) centers have included the CLABSI prevention bundle in practice. Methods: A questionnaire used for data collection was sent to the 545 EBMT centers worldwide, 103 of which responded. Results: All 5 components of the CLABSI prevention bundle were recorded in 28{\%} of the centers' standard operating procedures (SOP), and 21{\%} of the centers answered that they used all of the bundle components in clinical practice. The most common recommendation absent from the SOP was specification of all the components of full barrier precautions (43{\%} of the centers did not include at least 1 component). Skin disinfection with chlorhexidine before catheter insertion was reported by 66{\%} centers. CLABSI rates were monitored in 21{\%} of centers. Conclusions: Although most of the centers lacked 1 or more of the CLABSI prevention bundle components in their SOP, improvements could easily be made by updating the centers' SOP. The first important step is introduction of CLABSI rate monitoring in this high-risk patient population.",
keywords = "CLABSI, HSCT, Central venous catheter, Hematopoietic stem cell transplantation, Infection prevention",
author = "E. Snarski and A. Mank and S. Iacobelli and J. Hoek and J. Styczyński and A. Babic and S. Cesaro and E. Johansson",
year = "2015",
month = "8",
day = "1",
doi = "10.1111/tid.12399",
language = "English",
volume = "17",
pages = "558--565",
journal = "Transplant Infectious Disease",
issn = "1398-2273",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Current practices used for the prevention of central venous catheter-associated infection in hematopoietic stem cell transplantation recipients

T2 - A survey from the Infectious Diseases Working Party and Nurses' Group of EBMT

AU - Snarski, E.

AU - Mank, A.

AU - Iacobelli, S.

AU - Hoek, J.

AU - Styczyński, J.

AU - Babic, A.

AU - Cesaro, S.

AU - Johansson, E.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Background: Central line-associated bloodstream infection (CLABSI) is one of the most common infectious complications after hematopoietic stem cell transplantation. To prevent this complication, international guidelines recommend the implementation of the CLABSI 'prevention bundle' consisting of hand hygiene, full barrier precautions, cleaning the insertion site with chlorhexidine, avoiding femoral sites for insertion, and removing unnecessary catheters. The aim of this survey was to analyze to what extent European Group for Blood and Marrow Transplantation (EBMT) centers have included the CLABSI prevention bundle in practice. Methods: A questionnaire used for data collection was sent to the 545 EBMT centers worldwide, 103 of which responded. Results: All 5 components of the CLABSI prevention bundle were recorded in 28% of the centers' standard operating procedures (SOP), and 21% of the centers answered that they used all of the bundle components in clinical practice. The most common recommendation absent from the SOP was specification of all the components of full barrier precautions (43% of the centers did not include at least 1 component). Skin disinfection with chlorhexidine before catheter insertion was reported by 66% centers. CLABSI rates were monitored in 21% of centers. Conclusions: Although most of the centers lacked 1 or more of the CLABSI prevention bundle components in their SOP, improvements could easily be made by updating the centers' SOP. The first important step is introduction of CLABSI rate monitoring in this high-risk patient population.

AB - Background: Central line-associated bloodstream infection (CLABSI) is one of the most common infectious complications after hematopoietic stem cell transplantation. To prevent this complication, international guidelines recommend the implementation of the CLABSI 'prevention bundle' consisting of hand hygiene, full barrier precautions, cleaning the insertion site with chlorhexidine, avoiding femoral sites for insertion, and removing unnecessary catheters. The aim of this survey was to analyze to what extent European Group for Blood and Marrow Transplantation (EBMT) centers have included the CLABSI prevention bundle in practice. Methods: A questionnaire used for data collection was sent to the 545 EBMT centers worldwide, 103 of which responded. Results: All 5 components of the CLABSI prevention bundle were recorded in 28% of the centers' standard operating procedures (SOP), and 21% of the centers answered that they used all of the bundle components in clinical practice. The most common recommendation absent from the SOP was specification of all the components of full barrier precautions (43% of the centers did not include at least 1 component). Skin disinfection with chlorhexidine before catheter insertion was reported by 66% centers. CLABSI rates were monitored in 21% of centers. Conclusions: Although most of the centers lacked 1 or more of the CLABSI prevention bundle components in their SOP, improvements could easily be made by updating the centers' SOP. The first important step is introduction of CLABSI rate monitoring in this high-risk patient population.

KW - CLABSI

KW - HSCT

KW - Central venous catheter

KW - Hematopoietic stem cell transplantation

KW - Infection prevention

UR - http://www.scopus.com/inward/record.url?scp=84938738019&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938738019&partnerID=8YFLogxK

U2 - 10.1111/tid.12399

DO - 10.1111/tid.12399

M3 - Article

C2 - 25953418

AN - SCOPUS:84938738019

VL - 17

SP - 558

EP - 565

JO - Transplant Infectious Disease

JF - Transplant Infectious Disease

SN - 1398-2273

IS - 4

ER -