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Table 1 Description of the central line infection control program

From: A multicenter quasi-experimental study: impact of a central line infection control program using auditing and performance feedback in five Belgian intensive care units

  Baseline Phase 1 (March 2011 -August 2011) Phase 2 (September 2011-February 2012) Phase 3 (March 2012 -September 2012)
Care process 1. Appropriate hand hygiene before and after any CVC care As baseline As baseline As baseline
2. Use of maximal barrier precautions and skin antisepsis (0.5% chlorhexidine in 70% alcohol or alcoholic povidone-iodine) before CVC insertion
3. Replacement of gauze dressing every 24 hours or when damp, loose, or visibly soiled replacement of transparent dressings every 7 days or when damp, loose, or visibly soiled
4. Disinfection of catheter hubs and injection ports before they are accessed with an appropriate antiseptic (chlorhexidine in 70% alcohol or 70% alcohol)
5. Traceability of information about CVC, dressing and lines (dating of placement)
Monitoring of outcome measures None CLABSI/1,000 CVC-days, CVC utilization ratio CLABSI/1,000 CVC-days, CVC utilization ratio CLABSI/1,000 CVC-days, CVC utilization ratio
Monitoring of process measures     
Type of insertion site None Point prevalence survey of type of insertion site (internal jugular, subclavian, or femoral veins) Point prevalence survey of type of insertion site as in phase 1 Point prevalence survey of type of insertion site as in phase 1
Care process None None Monitoring of 5 CVC care process. Compliance rate with each care process was calculated by dividing the number of actions performed by the number of appropriate actions, expressed as a percentage None
Staff meetings Two meetings of study information and staff education per ICU None Monthly meeting with ICU staff to report outcome and process indicators None
Feedback reports None None Monthly feedback reports of outcome and process indicators posted in each ICU by the study investigator Monthly feedback of outcome indicators sent via e-mail to ICU leaders Feedback posted in the ICU at the ICU leaders’ discretion