MARYLAND HOSPITALS REPORT REDUCTION IN PREVENTABLE BLOOD STREAM INFECTIONS IN INTENSIVE CARE UNITS AND NEONATAL INTENSIVE CARE UNITS
Baltimore, MD (April 27, 2012)--The Maryland Health Care Commission’s most recent update to the Maryland Hospital Performance Evaluation Guide shows that Maryland hospitals made significant progress in reducing serious but preventable infections that occur in Intensive Care Units for the second consecutive year. Central line associated bloodstream infections, or CLABSIs, occur in patients who have an intravenous central line catheter in place. These potentially devastating infections can largely be prevented by proper insertion and care of the catheter.
In October 2010, the Commission first reported on CLABSIs for the 12-month period from July 1, 2009 through June 30, 2010. During that period, Maryland acute care hospitals reported 424 CLABSIs in adult ICUs and 48 CLABSIs in Neonatal ICUs (NICUs). The most current data for the 12-month period, January 1, 2011 through December 31, 2011, shows a 43 percent reduction in CLABSIs in Maryland hospitals, with 224 CLABSIs in adult ICUs and 43 CLABSIs in NICUs.
Maryland, as a whole, experienced less CLABSI than would be predicted after adjusting for ICU type. Three Maryland hospitals (Johns Hopkins Hospital, Meritus Medical Center, and Washington Adventist Hospital) had lower ICU infection rates than the national experience in 2011. Forty other Maryland hospitals had overall infection rates that were not significantly different from the national experience. Taken together, the CLABSI infection rate at all 43 acute care hospitals is 25 percent less than the United States as a whole.
“The progress that Maryland hospitals continue to achieve in reducing infections in ICUs is good news. The public reporting of CLABSI infection rates has proven to be an effective tool for driving improvement,” said Marilyn Moon, Ph.D., Chair of the Commission.
"Central line infections are some of the most dangerous and costly health care acquired conditions. The reduction in the CLABSI rate improves patient outcomes and eliminates costly and extended hospital stays." said Dr. Joshua M. Sharfstein, Secretary of the Department of Health and Mental Hygiene.