Learning Center
The Relationship Between Parenteral Nutrition and Central Line-Associated Bloodstream Infections (CLABSIs) [virtual]
There is a persistent fear of parenteral nutrition (PN) due to a concern for an increase in central line-associated bloodstream infections (CLABSIs). The process of PN dosing, preparation, and administration has changed drastically since its introduction, decreasing many risks associated with this treatment modality. Clinicians must still address concerns of PN-related CLABSIs despite compelling evidence demonstrating that these infections are largely preventable with appropriate PN management and vascular device care. In this session, we will learn about the history of PN, why infection rates were historically elevated compared to other treatment modalities, how infection rates have improved over time, and strategies to administer PN safely.
Learning Objectives: At the conclusion of this session, learners will be able to:
- Discuss the history and evolution of PN.
- Examine data relating PN use to CLABSIs after implementation of improved processes.
- Describe practices to decrease infections when administering parenteral nutrition.
Contact Hours: 1
CRNI® RUs: 2
Johnathan Voss, PharmD, BCCCP, BCNSP
Fresenius Kabi USA
Dr. Johnathan Voss is a medical science liaison with Fresenius Kabi USA. He is a board-certified critical care pharmacist and a board-certified nutrition support pharmacist with 8 years of experience focused on the management of critically ill patients including nutrition support in this patient population. In his role on the Fresenius Kabi USA Medical Affairs team, Dr. Voss focuses on parenteral nutrition education and safety. Before joining Fresenius Kabi, he spent 7 years practicing in the intensive care unit and emergency department at John Peter Smith Hospital, a Level 1 trauma hospital in Fort Worth, Texas, where he participated in the care of adult patients in the surgical/trauma intensive care unit with additional coverage on the medical intensive care unit team and in the emergency department. He regularly lectures on the topics of fluid and electrolyte management and various critical care and toxicology topics at the University of North Texas Health Science Center College of Pharmacy—where he is an adjunct clinical professor—and has presented lectures on similar topics for the adult-gerontology acute care nurse practitioner (AGACNP) program at Texas Christian University (TCU). John is an active member of the American Society for Parenteral and Enteral Nutrition (ASPEN), the American College of Clinical Pharmacy (ACCP), and the Society of Critical Care Medicine (SCCM). For ASPEN, he is the current chair of the Drug Nutrient Interaction Section and for ACCP he is a past secretary/treasurer and chair for the Gastrointestinal/Liver/Nutrition Practice Research Network.