Pediatric Hematology and Oncology

Central Line-Associated Bloodstream Infections

To avoid central line-associated bloodstream infections (CLABSIs), healthcare providers must follow a strict protocol when inserting the line and stringent infection control practices each time they check the line or change the dressing.¹

Non-Mucosal Barrier Central Line-Associated Bloodstream Infections

2016 - 2019

To avoid central line-associated bloodstream infections (CLABSIs), healthcare providers must follow a strict protocol when inserting the line in addition to following stringent infection control practices each time they check the line or change the dressing.¹ A Non-MBI CLABSI refers to a CLABSI that is not due to a mucosal barrier injury. This distinction is important in hematology/oncology, where many patients are at risk for mucosal breakdown.

At Cleveland Clinic Children's, there were no infections after March 2018, when the Visual Management Board checklist tool and other processes were initiated by a nurse-led CLABSI prevention team. In 2019, there were ZERO CLABSIs on the Pediatric Hematology and Oncology Unit. This significant achievement was the result of years of quality improvement measures, and a culture of safety and high reliability².

¹ Centers for Disease Control and Prevention. Central Line-associated Bloodstream Infections: Resources for Patients and Healthcare Providers. www.cdc.gov/hai/bsi/clabsi-resources.html. Updated Apr 1, 2010. Accessed Mar 19, 2018.

²Cleveland Clinic. (2019). Zero CLABSIs on pediatric hematology and oncology unit in 2019. https://consultqd.clevelandclinic.org/zero-clabsis-on-pediatric-hematology-and-oncology-unit-in-2019/

CL = central line

NHSN = National Healthcare Safety Network

Non-MBI CLABSI= CLABSI that is not due to a mucosal barrier injury

Non-MBI CLABSI refers to a CLABSI that is not due to a mucosal barrier injury. This distinction is important in hematology/oncology where many of the patients are at risk for mucosal breakdown.

References

¹ Centers for Disease Control and Prevention. Central Line-associated Bloodstream Infections: Resources for Patients and Healthcare Providers. www.cdc.gov/hai/bsi/clabsi-resources.html. Updated Apr 1, 2010. Accessed Mar 19, 2018.