Central Line-Associated Bloodstream Infections

Central Line-Associated Bloodstream Infections Literature Review

Central Line-Associated Bloodstream Infection (CLABSIs) in a fatal infection that results from bacteria or viruses entering the bloodstream through the central line. A central line, also known as a central venous catheter, refers to a tube used by doctors to administer medication, fluids or to collect blood from the body of a patient (Deason & Gray, 2018). Central Line-Associated Bloodstream Infection is one of the leading causes of deaths each year in different countries across the globe. Central Line-Associated Bloodstream Infection has been an area of interest for many healthcare researchers representing a diverse body of knowledge about the infection while still expanding on what is already known. The paper is an analysis of articles related to CLABSIs with the major themes of concern to the authors including risk factors, interventions, CLABSIs and Hospital Acquired Infections (HAIs), benefits of the preventive measures and the common symptoms of CLABSIs.

Questions Posed in the Studies
Afonso, Blot, & Blot (2016) seeks to establish how hospital-acquired bloodstream infections can be prevented through the use of chlorhexidine gluconate-impregnated washcloth bathing in intensive care units. In the study by Chidambaram (2015), the question raised is, what associations dental procedure and CVCs have.
Kadium, M. (2015) inquired into how the education program for 1 month, based on the
evidence-based guidelines recommended by CDC, will improve registered dialysis nurses’ knowledge regarding CVC maintenance care?

CDC and NCBI (2011) raise the research question, how many people have been affected in the USA from 2001-2009?
Srinivasan, Wise, Bell, Cardo, Edwards, Fridkin, Jernigan, Kallen, McDonald, & Patel (2011) considers questioning the perception of central line-associated bloodstream
Dougherty (2012) questions the potential solutions in reducing incidences of central-line associated bloodstream infections have to be created in line with the clinical setting and careful consideration of the patients and the organizational culture.
Lin, Apisarnthanarak, Jaggi, Harrington, Morikane, Thu, Ching, Villanueva, Zong, Jeong, & Lee, (2015 (2011) the inquiry is into what level of knowledge, attitudes, and behavior the nurses in the cancer setting in the Italian hospitals have about CVC procedures.
O’Grady, Alexander, Burns, Delilnger, Garland, Heard, Lipsett, Masur, Mermel, Pearson, Raad, Randolph, Rupp, & Saint (2011), the inquiry focused into how Positive blood culture shows the relationship between CLABSI and CDC surveillance.
Perin, Erdmann, Higashi, Sasso, Bianco et al. (2016) the research question is; What are the CLABSI-related preventive measures implemented among adult patients hospitalized in an ICU?
Esposito, Guillari & Angelillo (2017) inquiries into what level of knowledge, attitudes, and behavior the nurses in the cancer setting in the Italian hospitals have about CVC procedures. It also questions the predisposing factors for the knowledge, attitudes, and behavior.
Oliveira, Stipp, Silva, Frederico, & Duarte (2016) questions into the standard procedure in the ICU, the catheterization of a central venous access good care practices from insertion and handling to the moment of withdrawal.
In a research by Basinger, M. A. (2014), the research question questions into the causal effects of the CUSP on the reduction of CLABSIs within the relationship CUSP team member webinar attendance has with the reduction of CLASBIs.
Xu & Wu (2017) inquire about how a Comprehensive Unit-Based Safety Program which involves the improvement of communication, teamwork, and safety in the ICUs.
Bianco, Coscarelli, Nobile, Pileggi, & Pavia (2013) find it interesting to establish the role of knowledge, evidence-based practices, the insertion and maintenance of CVC with the protection of CLABSIs.
The Final research is by Han, Liang, & Marschall, (2010), who question how the involvement of education to the family and the patient can help prevent CLABSIs attacks among patients on CVC care. Another study by questions the relationships between Positive blood culture and CLABSI with CDC.
Identified Subthemes

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