TY - JOUR
T1 - New Developments in the Prevention of Intravascular Catheter Associated Infections
AU - Hewlett, Angela L.
AU - Rupp, Mark E.
N1 - Funding Information:
Dr Hewlett has no relevant conflicts of interest to disclose. Dr Rupp has received research funding from Arrow International, 3 M, Becton Dickinson, and Molnlycke . Dr Rupp has served as a consultant or received honoraria from 3 M, Baxter, Semprus, and Care Fusion.
PY - 2012/3
Y1 - 2012/3
N2 - Central line-associated bloodstream infections (CLA-BSI) are one of the leading causes of healthcare-associated infections, resulting in significant morbidity and substantial excess cost. There is a growing recognition that most CLA-BSIs are preventable. Elimination of preventable CLA-BSI is the focus of a recently released CDC Guideline. Universal preventative measures include collaborative performance improvement using checklists and bundles, education of persons who insert and maintain catheters, maximal sterile barrier precautions, and chlorhexidine skin preparation. Technologic innovations including coated catheters, antimicrobial impregnated dressings, and antimicrobial lock solutions should be considered if the rate of CLA-BSI is not acceptable after application of universal precautions.
AB - Central line-associated bloodstream infections (CLA-BSI) are one of the leading causes of healthcare-associated infections, resulting in significant morbidity and substantial excess cost. There is a growing recognition that most CLA-BSIs are preventable. Elimination of preventable CLA-BSI is the focus of a recently released CDC Guideline. Universal preventative measures include collaborative performance improvement using checklists and bundles, education of persons who insert and maintain catheters, maximal sterile barrier precautions, and chlorhexidine skin preparation. Technologic innovations including coated catheters, antimicrobial impregnated dressings, and antimicrobial lock solutions should be considered if the rate of CLA-BSI is not acceptable after application of universal precautions.
KW - Bloodstream infection
KW - Catheter-related bloodstream infection
KW - Central venous catheter
KW - Intravascular catheter
UR - http://www.scopus.com/inward/record.url?scp=84856271020&partnerID=8YFLogxK
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U2 - 10.1016/j.idc.2011.09.002
DO - 10.1016/j.idc.2011.09.002
M3 - Review article
C2 - 22284372
AN - SCOPUS:84856271020
SN - 0891-5520
VL - 26
SP - 1
EP - 11
JO - Infectious disease clinics of North America
JF - Infectious disease clinics of North America
IS - 1
ER -