The Quest For Zero Infections: A Fool’s Mission?

By ANISH KOKA, MD Joyce is sick.  I am in the intensive care unit, peering at vital parameters that glow on the screen above her bed.  My eyes linger on those numbers because it is easier than looking at her.  A fever rages, her core temperature reads 103.4 degrees.  Her white hair is plastered on her forehead with sweat, and a tube to help her breathe emerges from her mouth and heads to a ventilator that angrily tweets a musical alarm every few minutes.  Her breathing is painfully obvious.  Her stomach moves paradoxically inward on every breath, and I can see the muscles in her neck tense with the effort of every breath.  Mercifully, her eyes are closed.  A nurse walks in and starts to change a bag of fluids that is hanging by her bed.  I follow the flexible plastic tubing that arises from the bag to an infusion pump, and then to a catheter that snakes under a see-through dressing underneath Joyce’s left collarbone.  I ask the nurse about how long the catheter has been in place…’3 days’…I’m told.  I mutter about the possibility of a central line infection – the dreaded central line-associated blood stream infection (CLABSI).  The nurse shakes her head, and tells me – “we don’t get those anymore”. CLABSIs are ground zero in the war on preventing patient harm.  The story entered the mainstream consciousness in the lyrical words of Atul Gawande in the New Yorker in 2007.  There he told a story of an...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs