Ventilator-associated pneumonia (VAP), central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) rank among the top five most expensive HAIs. A wide body of research supports the use of catheter-related insertion and maintenance protocols, as well as initiatives that include staff education and daily monitoring, But better strategies and evidence-based solutions are still needed .
Generally, there are two approaches to driving down the rates of healthcare-associated infections — vertically and horizontally, “Under the vertical approach, you might focus on specific organisms — screening for MRSA or swabbing for VRE, for example. Under the horizontal approach, you would focus on, for instance, hand hygiene and antimicrobial management. What works best, adds Darouiche, will vary among healthcare organizations. The bottom line is a multidisciplinary approach. “The nurse, doctor, housekeeping, supply chain and infection prevention all have a piece of the puzzle,”