PC.97 Incidence of Central-Line-Associated Bloodstream Infection (CABSI) Rates in a Neonatal Unit: 3 year observational study.

AIM: To estimate the incidence of CABSI and the effect of implementing Matching Michigan care bundle.

METHOD: Retrospective analysis of CABSI rates in all neonates with central lines. The reported CABSI rates have varied between 3.2 to 21.8/ 1000 catheter days.(1) The NNAP data on the incidence of CABSI rates 1.8-3.1/1000 is low due to underreporting.(2) We at medway had signed up for the Matching Michigan project aimed at reducing CABSI. We established our baseline CABSI rates at 13.6/1000 catheter days with snap shot audit before implementing the Matching Michigan project in 2011 and our CABSI rates have been below 10/1000 catheter days for three consecutive years. We are the first unit to publish the CABSI rates over a three year period in United Kingdom. The results are as follows: fetalneonatal;99/Suppl_1/A69-c/T1T1T1 Abstract PC.97 Table Comparative indicators 2011 2012 2013 Patients 141 151 154 Gestation <28 weeks 44 57 45 Birth weight <1000 grams 50 52 36 UAC, n (days) 97(572) 71(440) 88(557) UVC n (days) 111(549) 91(426) 104(534) PICC n (days) 92(1096) 60(722) 108(1160) Surgical Line n (days) 0 1(2) 0 Total Catheter days 2217 2304 2253 TPN days 1252 1354 1380 Positive Blood culture with central line 18 22 16 ITU occupancy (%) 67 76 72 CABSI Rates (per 1000 catheter days) Base line 13.6 8.1 9.5 7.1 CONCLUSIONS: Our study establishes the first UK data on CABSI rates and shows that the incidence of CABSI decreased following the implementation of Matching Michigan care bundle.

REFERENCES: Folgori L, et al. Arch Dis Child Fetal Neonatal Ed. 2013;98:F518-F523 Annual Report National Neonatal Audit Program 2012, RCPCH.