Central line associated blood stream infection rate calculation

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CDC central line-associated bloodstream infection rate calculation per 1000 central line days

Central line-associated bloodstream infection (CLABSI) rate

[ \textbf{CLABSI rate} = \left(\frac{\text{Number of CLABSI events in the period}}{\text{Total central-line days in the same period}}\right) \times 1000 ]
Reported as CLABSIs per 1,000 central-line days. This is the CDC/NHSN surveillance calculation. CDC NHSN manual
Example
  • CLABSI events in an ICU during June: 3
  • Total central-line days in June: 1,250
[ \left(\frac{3}{1250}\right) \times 1000 = 2.4 ]
CLABSI rate = 2.4 per 1,000 central-line days.
Central-line days means the daily total number of patients with one or more eligible central lines. A patient with two central lines on one day still contributes one central-line day.
Related measure:
[ \textbf{Central-line utilization ratio} = \frac{\text{Central-line days}}{\text{Patient-days}} ]
Use the relevant surveillance definition for what counts as a CLABSI, rather than assuming every bloodstream infection in a patient with a central line is line-associated. A CLABSI is a laboratory-confirmed bloodstream infection in a patient with a qualifying central line and no other identified source. Fischer's Mastery of Surgery - 8th e, lines 3419-3427.
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