Mary-Louise McLaws DipTropPubHlth, MPH, PhD , William R. Jarvis MD
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Central line-associated bloodstream infection (CLABSI) rates: achieving the elusive goal of zero
Zero-risk for CLABSI is achievable – but not without applying distinctively different strategies. Currently, the majority of ICU patients have a short dwell time, <9 days, and with aseptic insertion will remain infection-free for their entire ICU stay. But the minority of patients have a longer dwell time, contribute the majority of CLABSI and require more than aseptic insertion to reduce the risk of infection. Consequently, aggregating short and longer dwell times prevents us from evaluating care.