Guidelines for the Prevention of Intravascular Catheter-related Infections

Clicks: 21
ID: 289567
2011
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Ranked #314 of 635 articles by views in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

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Abstract
Although many catheter-related bloodstream infections (CR-BSIs) are preventable, measures to reduce these infections are not uniformly implemented.To update an existing evidenced-based guideline that promotes strategies to prevent CR-BSIs.The MEDLINE database, conference proceedings, and bibliographies of review articles and book chapters were searched for relevant articles.Studies Included: Laboratory-based studies, controlled clinical trials, prospective interventional trials, and epidemiological investigations.Reduction in CR-BSI, catheter colonization, or catheter-related infection.The recommended preventive strategies with the strongest supportive evidence are education and training of healthcare providers who insert and maintain catheters; maximal sterile barrier precautions during central venous catheter insertion; use of a 2% chlorhexidine preparation for skin antisepsis; no routine replacement of central venous catheters for prevention of infection; and use of antiseptic/antibiotic impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (i.e. education and training, maximal sterile barrier precautions and 2% chlorhexidine for skin antisepsis).Successful implementation of these evidence-based interventions can reduce the risk for serious catheter-related infection.
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Authors
Journal Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Year 2011
DOI
10.1093/cid/cir257
URL
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