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Current strategies for the prevention and management of central line-associated bloodstream infections.

Han Z, Liang SY, Marschall J - Infect Drug Resist (2010)

Bottom Line: Central venous catheters are an invaluable tool for diagnostic and therapeutic purposes in today's medicine, but their use can be complicated by bloodstream infections (BSIs).While evidence-based preventive measures are disseminated by infection control associations, the optimal management of established central line-associated BSIs has been summarized in infectious diseases guidelines.We prepared an overview of the state-of-the-art of prevention and management of central line-associated BSIs and included topics such as the role of antibiotic-coated catheters, the role of catheter removal in the management, and a review of currently used antibiotic compounds and the duration of treatment.

View Article: PubMed Central - PubMed

Affiliation: Division of Infectious Diseases, Washington University School of Medicine in St Louis, St Louis, MO, USA.

ABSTRACT
Central venous catheters are an invaluable tool for diagnostic and therapeutic purposes in today's medicine, but their use can be complicated by bloodstream infections (BSIs). While evidence-based preventive measures are disseminated by infection control associations, the optimal management of established central line-associated BSIs has been summarized in infectious diseases guidelines. We prepared an overview of the state-of-the-art of prevention and management of central line-associated BSIs and included topics such as the role of antibiotic-coated catheters, the role of catheter removal in the management, and a review of currently used antibiotic compounds and the duration of treatment.

No MeSH data available.


Related in: MedlinePlus

Example of a central vascular catheter insertion checklist. Copyright © 2010, reproduced with permission from BJC Infection Prevention and Epidemiology Consortium.
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f1-idr-3-147: Example of a central vascular catheter insertion checklist. Copyright © 2010, reproduced with permission from BJC Infection Prevention and Epidemiology Consortium.

Mentions: Systems-based interventions promote greater adherence to the best practices described above. Use of a dedicated cart or kit standardizes CVC placement procedures and improves compliance with sterile technique. At one hospital, a routinely used standard CVC kit contained a small sterile drape and 10% povidone–iodine antiseptic.45 This kit was replaced with a customized kit containing a large sterile drape and 2% chlorhexidine gluconate in 70% isopropyl alcohol, which correlated with a decrease in CLABSI rates. The use of a universal catheter checklist not only prompts compliance but also ensures proper documentation of the utilization of infection-prevention strategies (Figure 1). A nurse, physician, or other trained health care professional should be appointed to observe the insertion of the CVC, review the checklist, monitor sterile technique, and should be empowered to terminate the procedure if breaches are identified.


Current strategies for the prevention and management of central line-associated bloodstream infections.

Han Z, Liang SY, Marschall J - Infect Drug Resist (2010)

Example of a central vascular catheter insertion checklist. Copyright © 2010, reproduced with permission from BJC Infection Prevention and Epidemiology Consortium.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3108742&req=5

f1-idr-3-147: Example of a central vascular catheter insertion checklist. Copyright © 2010, reproduced with permission from BJC Infection Prevention and Epidemiology Consortium.
Mentions: Systems-based interventions promote greater adherence to the best practices described above. Use of a dedicated cart or kit standardizes CVC placement procedures and improves compliance with sterile technique. At one hospital, a routinely used standard CVC kit contained a small sterile drape and 10% povidone–iodine antiseptic.45 This kit was replaced with a customized kit containing a large sterile drape and 2% chlorhexidine gluconate in 70% isopropyl alcohol, which correlated with a decrease in CLABSI rates. The use of a universal catheter checklist not only prompts compliance but also ensures proper documentation of the utilization of infection-prevention strategies (Figure 1). A nurse, physician, or other trained health care professional should be appointed to observe the insertion of the CVC, review the checklist, monitor sterile technique, and should be empowered to terminate the procedure if breaches are identified.

Bottom Line: Central venous catheters are an invaluable tool for diagnostic and therapeutic purposes in today's medicine, but their use can be complicated by bloodstream infections (BSIs).While evidence-based preventive measures are disseminated by infection control associations, the optimal management of established central line-associated BSIs has been summarized in infectious diseases guidelines.We prepared an overview of the state-of-the-art of prevention and management of central line-associated BSIs and included topics such as the role of antibiotic-coated catheters, the role of catheter removal in the management, and a review of currently used antibiotic compounds and the duration of treatment.

View Article: PubMed Central - PubMed

Affiliation: Division of Infectious Diseases, Washington University School of Medicine in St Louis, St Louis, MO, USA.

ABSTRACT
Central venous catheters are an invaluable tool for diagnostic and therapeutic purposes in today's medicine, but their use can be complicated by bloodstream infections (BSIs). While evidence-based preventive measures are disseminated by infection control associations, the optimal management of established central line-associated BSIs has been summarized in infectious diseases guidelines. We prepared an overview of the state-of-the-art of prevention and management of central line-associated BSIs and included topics such as the role of antibiotic-coated catheters, the role of catheter removal in the management, and a review of currently used antibiotic compounds and the duration of treatment.

No MeSH data available.


Related in: MedlinePlus