I need some help from my fellow picc experts. We have recently had an increase in CLABSI's over the past two months(PICC lines and other central lines included). We have not changed anything with the exception of adding a biopatch to every dressing change. Nearly every one of the infections are 7 days or longer post-insertion, yet our IC department keeps requesting a root cause analysis from us - the PICC team. We have informed them that most likely these are related to catheter care and manipulation (i.e. failure to perform handwashing, maintaing integrity and sterility of dressing, scrubbing the hubs properly etc. etc.) and that if the infection was insertion related, it should occur withing 24 - 48 hours. Are we correct, can you give me some published studies/documentation about this. I really want to work with IC to resolve this problem, but can't get past the fact they seem to place the blame on the picc insertion nurses. Our team only consists of myself and one other nurse, hence we are not able to have a dedicated team to follow the picc lines through the patients entire LOS - I am going to start pushing for this, but with budget cuts, may not be successful yet. I know this is a start, I just need some more powerful information to provide to my IC. thanks for your help.