Bloodstream infections occur when germs enter the bloodstream through a central line. A central line is a tube that healthcare providers place in a large vein in the neck, chest, or arm to access the bloodstream quickly and easily. The central line is used to give fluids, blood, or medications to a patient. When an infection occurs in the bloodstream from the presence of a central line, it is referred to as a Central Line-associated Bloodstream Infection (CLABSI); also known as a Catheter-Associated Bloodstream Infection. All patients with a central line are at risk for a CLABSI.
Learn more from the CDC about CLABSI by clicking here. For more information about catheter-associated bloodstream infections, click here.
Bloodstream infections extend the stay of a patient in the healthcare setting and account for 12-25% of mortality rates.
Colorado reports CLABSI data according to facility type, central line type, and critical care unit to account for differences in care and patient risk for infection. This allows for fairer comparisons between health facilities.
Infection rates for each facility are calculated by taking the total number of infections and dividing them by the total number of central line days, and then multiplying that number by 1,000. This gives the infection rate per 1,000 central line days. The number of central line days is the total number of days a central line was used in the critical care unit during the reporting period. This rate is then compared to the national infection rate and classified as statistically lower (better) than the national rate, statistically similar (same) as the national rate, or statistically higher (worse) than the national rate.
CLABSI data are reported for Adult Critical Care Units, Long-term Acute Care Hospitals, and Neonatal Critical Care Units. Click here to view the most recent CLABSI data for Colorado.
The table below shows aggregate central line associated bloodstream infection (CLABSI) rates for adult critical care units (CCU), neonatal critical care units (NCCU), and long-term acute care hospitals (LTACH) in Colorado by reporting year (August 1 – July 31). For all three locations, there is a downward trend in the CLABSI rate from 2008 to 2011. The CCU CLABSI rate has shown a 43% decrease; NCCU CLABSI rate has decreased 38% and the LTACH CLABSI rate has decreased by 45% over the last three years.
||Aug 2007 - July 2008
||Aug 2008 - July 2009
||Aug 2009 - July 2010
||Aug 2010 - July 2011
||Aug 2011 - July 2012
|Cardiac Critical Care Unit
|Cardiothoracic Critical Care Unit
|Medical Critical Care Unit
|Medical/Surgical Critical Care Unit
|Surgical Critical Care Unit
|All reporting Adult Critical Care Unit
|Long-term Acute Care Hospital
|Neonatal Critical Care Level II/III
|Neonatal Critical Care Level III
|All reporting Neonatal Critical Care Units
|CO CLABSI rate