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A successful approach to reducing bloodstream infections based on a disinfection device for intravenous needleless connector hubs.
J Infus Nurs
September 2016
Pennsylvania Hospital, Philadelphia, Pennsylvania. Claire Stango, RN, CIC, is an infection preventionist at Pennsylvania Hospital, a 520-bed, acute care institution in Philadelphia, which is part of the University of Pennsylvania Health System. Debra Runyan, BS, MT (ASCP), CIC, is the director of the Infection Prevention Department at Pennsylvania Hospital. John Stern, MD, is chief of Pennsylvania Hospital's Division of Infectious Diseases. Ida Macri, BSN, RN, CIC, is an infection preventionist at Pennsylvania Hospital. Maria Vacca, BSN, RN, CIC, PCCN, is an infection preventionist at Pennsylvania Hospital.
When central line-associated bloodstream infections (CLABSIs) spiked in an oncology unit of an acute care hospital in Philadelphia from October 2009 to March 2010, noncompliance with intravenous needleless connector disinfection was suspected as a factor. The hospital implemented a disinfection cap, a device designed to address compliance/variance issues with connector disinfection protocols. However, the incidence of CLABSIs increased again in 1 unit, apparently as the result of poor compliance with cap use.
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