An estimated 80,000 people suffer bloodstream infections every year because hospitals do not commit the necessary resources and attention to the problem, according to a new survey of medical professionals.
Catheter-related bloodstream infections can occur when tubes inserted into patients’ veins are left in too long or are prepared improperly. The infections result in about 30,000 deaths per year, according to the U.S. Centers for Disease Control and Prevention.
The survey, commissioned by the Association for Professionals in Infection Control and Epidemiology, found that nearly 50 percent of respondents said the infections are a problem where they work, while only 12 percent said they are not a problem at all.
Respondents cited several causes of the infections, including improper maintenance of lines (29 percent), failure to remove the lines when necessary (21 percent), improper preparation (20 percent), and bad hygiene (19 percent).
Officials suggest that simple steps could drastically reduce the rate of infection, reports The Washington Post:
(1) Wash hands with soap; (2) clean patient’s skin with an effective antiseptic; (3) put sterile drapes over the entire patient; (4) wear a sterile mask, hat, gown and gloves; (5) put a sterile dressing over the catheter site.
The approach also calls for clinicians to continually reconsider whether the benefits of keeping the catheter in for another day outweigh the risks and to use electronic monitoring systems that allow them to spot infections quickly and assemble a rapid response team to treat them.
A Michigan program that implemented the protocol reportedly saved more than 1,500 lives and $200 million in the first 18 months.
Peter Pronovost, a professor at Johns Hopkins University School of Medicine who led the program, believes that at least part of the problem lies with hospital administrators.
“If anyone in that chain of accountability doesn’t work, you won’t get your [infection] rates down,” he told The Post. “But it’s the hospital’s senior leadership that is ultimately responsible.”


