Public Reporting Central-Line Associated Blood Stream Infection

Patient safety remains the most important priority for Norfolk General Hospital and this involves ensuring that patients are not at risk for contracting healthcare-associated infections. We are committed to transparency. Beginning April 30, 2009, Norfolk Hospital is reporting its quarterly Central Line Infection rate. The first reporting period will cover the months of January, February and March 2009.


What is a Central-Line Associated Blood Stream Infection (CLI-BSI)?

When a patient requires long-term access to medication or fluids through an IV, a central line is put in place. A central line blood stream infection 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 most often comes from the patient's skin.


Hospitals follow best practices on how to prevent bacteria from entering into a central line. Patients in the ICU often require a central line since they are seriously ill, and will require a lot of medication, for a long period of time.


Posting CLI-BSI Rates


All hospitals with ICUs are required to report into the Critical Care Information System (CCIS) - a centralized data collection system where hospitals report a variety of critical care information. This information is used to calculate the CLI rate data that must be publicly reported.


The CLI rate is calculated as a ratio per 1000 central line days.


The total "central line days" represents the sum of the number of days during which a patient had a central line in ICU. For example. if there were 2 patients in ICU and each had a central line on April 21, 2009 the total central line days are 2.


The rate is calculated as follows:


Total # of ICU related BSIs after 48 hours of central line placement  X 1000

Total # of central line days for ICU patients 18 years and older


What can patients do to help reduce their chances of infection?

Patients should always follow instructions given to them by your health care team.


Frequent hand cleaning is another way to prevent the spread of infection. Hand hygiene involves everyone in the hospital, including patients.


More patient-specific information is available at and and


 The CLI rate for the fourth quarter of 2011/2012 is 0, we have had no CLIs

     Central Line Infection Fact Sheet                           Questions and Answers

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Prevent the Spread of Germs!