Catheter Care Bundle and Low Catheter Related Bloodstream Infection Rates in a Home Parenteral Nutrition Population; a  4 Year Observational Study

Abstract Home Parenteral Nutrition (HPN) is often a life-saving therapy for patients. One of the most common complications for HPN is catheter-related blood stream infections (CRBSI). In the home setting there is no single defined “care bundle” for the on-going maintenance of central venous catheters (CVC) for the prevention of CRBSI. We evaluated the impact of a standardized catheter care bundle in patients receiving HPN on the incidence of CRBSI. Methods: Data collection included use of standardized tools and processes to capture patient demographics, catheter complications including CRBSI and some associated risk factors. Reported data was collected and analyzed annually and compared year-to-year from the years 2014-2017 from one national home infusion company. CRBSI reported as number of infections/1000 catheter days Results: The CRBSI rate/1000 days was reported as 0.43, 0.31, 0.30 and 0.23 (2014, 2015, 2016, 2017 respectively) statistically significant difference (p < .05) between the years 2014 and 2017. CRBSI. Conclusion: The use of a catheter care bundle in an HPN population may have contributed to a 4- year reported outcomes of low and continuously declining CRBSI in a large, diverse United States-based HPN population.