50.09 Effectiveness of a Central Line Associated Blood Stream Infection Protocol in a Pediatric Population

J. S. Graham1, M. Mathis2, L. Wilkinson2, S. Anderson2, C. Hutto3, K. Monroe4, A. Jones4, R. Dimmitt5, D. Galloway5, C. Martin2  1University of Alabama School of Medicine,Birmingham, AL, USA 2University of Alabama at Birmingham,Surgery/Pediatric Surgery,Birmingham, Alabama, USA 3University of Alabama at Birmingham,Infectious Disease/Pediatrics,Birmingham, Alabama, USA 4University of Alabama at Birmingham,Emergency Medicine/Pediatrics,Birmingham, Alabama, USA 5University of Alabama at Birmingham,Gastroenterology;Hepatology And Nutrition Services/Pediatrics,Birmingham, Alabama, USA

Introduction: Long-term parenteral nutrition administered by a central venous catheter (CVC) is often needed for pediatric patients with intestinal failure. Central line-associated bloodstream infections (CLABSIs) are a common cause of life-threatening bacteremia and sepsis in this patient population, secondary to long-term CVC use. When a parenteral nutrition (PN)-dependent patient presents with fever and other infection-concerning-symptoms, prompt recognition and care are needed.  Expedited antimicrobial treatment has been shown to decrease mortality and morbidity in patients with sepsis.

Methods: A 36 month, IRB approved retrospective chart review was conducted on TPN-dependent patients with intestinal failure who present with a fever to Children’s of Alabama’s ED and were admitted to the hospital. Outcomes of interest were adherence to protocol, unplanned transfers, and length of stay.

Results: 44 patients were included in the study, 28 were in the first 18-month period and 26 were in the second, with 10 patients in both populations. Post-protocol implementation, mean time from ED admission to antibiotic ordered and ED admission to antibiotic administered were lower (2:17±1.34 vs. 0:46±0.46, p<0.001, and 2:46±1:42 vs. 1:19±0:49, p<0.001), mean time between antibiotic administration and admission to the floor was greater (2:37±1:02 vs. 1:56±1:25, p=0.025), number of infectious disease consultation was greater (23.5% vs. 46.7%, p=0.006), floor to ICU transfers were lower (28.6% vs. 6.5%, p=0.009), readmission within 30 days was greater (5.9% vs. 22.8%, p=0.009) and mean length of stay was similar (7.67±4.82 vs. 6.93±3.25, p=0.283).

Conclusion: Here we show the value and importance of expedited antimicrobial treatment and a multidisciplinary approach to the treatment of each patient. A prospective analysis of the patients being readmitted within 30 days is recommended to determine the source of increased infection incidences and readmission rates.?