Joint Commission contributes to new guidance from SHEA on preventing healthcare-associated bloodstream infections
Infection Control and Hospital Epidemiology has published new expert guidance highlighting practice recommendations for the prevention of central line-associated bloodstream infections (CLABSIs) at a time when hospitals urgently need to strengthen infection prevention programs.
This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA). It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise.
The CLABSI prevention guide is the first to be published from a series of seven concise, evidence-based practice recommendation guides for acute care hospitals on the prevention of healthcare-associated infections that threaten patient safety.
The Compendium is a multiyear, highly collaborative guidance-writing effort by more than 100 experts from around the world. The 2022 update will include guidance for improving hand hygiene practices in hospitals, and a document on concepts and frameworks to successfully implement healthcare-associated infection prevention practices. The authors note that the Compendium documents may help hospitals restart conversations about quality indicators and remind hospitals to reinforce healthcare-associated infections preventive measures outside of COVID-19.
Each Compendium article provides concise lists and rationale for practical evidence- and consensus-based essential practices, which all acute care hospitals should implement, and additional approaches that hospitals should consider when infections are not controlled by full implementation of essential practices. Some highlights from the updated CLABSI guidance include:
- The subclavian vein is now considered the preferable site for central venous catheter (CVC) insertion in intensive care patients to reduce infectious complications.
- Chlorhexidine-containing dressings are now considered an “essential practice” in patients over two months of age.
- Examples of “additional approaches" to be used by hospitals when CLABSIs are not controlled after implementation of essential practices, include the use of antiseptic- or antimicrobial-impregnated CVCs and the use of antiseptic-containing hub/connector cap/port protectors to cover connectors.
The full suite of Compendium articles scheduled to publish throughout 2022 will include strategies to prevent catheter-associated urinary tract infections, Clostridium difficile infections, methicillin-resistant Staphylococcus aureus infections, surgical site infections, ventilator-associated- pneumonia and -events, and non-ventilator healthcare-associated-pneumonia. Hand hygiene also has a dedicated article. Each Compendium article contains infection prevention strategies, performance measures, and example implementation approaches. Compendium recommendations are derived from a synthesis of systematic literature review and evaluation of the evidence, practical and implementation-based considerations, and expert consensus.
View the Compendium.