Central Line Infections (CLI)

A blood stream infection is considered to be associated with a central line if the line was in use during the 48-hour period before the development of the infectionA central line infection (CLI) can occur when bacteria and/or fungi enters the blood stream, causing a patient to become sick. The bacteria can come from a variety of places (e.g. skin, wounds, environment, etc.) though it may often come from the patient’s skin. Hospitals follow best practices on how to prevent bacteria from entering the blood stream. CLI are treated with antibiotics by a team of highly skilled professionals.

At TBRHSC, strategies have been implemented to prevent and monitor CLI rates including the CCIS reporting, ‘Safer Healthcare Now’ bundles and ongoing education to front line staff.

Data will be entered daily into CCIS and public reporting will be on a quarterly basis. Public reporting of our CLI rates is not intended to serve as a measure for hospitals to compare themselves against other organizations or for the public to use as a measure of where to seek care. Tracking rates over time will provide us with helpful information that we can use to make quality improvements over time.

This indicator is being reported because:

  • 90 percent of catheter-related blood stream infections occur with central venous catheters, which are increasingly used in acute care settings
  • CLI prolongs hospitalization
  • there are prevention interventions known to impact infection rates

Calculation of TBRHSC Central Line Infections (CLI) Rate

Total Number of ICU related BSIs after 48 hours of central line placement x 1000
Total number of central line days for ICU patients 18 years and older