Increased Bloodstream Infection Rates in Surgical Patients Associated with Variation from Recommended Use and Care Following Implementation of a Needleless Device

Cookson, Susan T.; Ihrig, Melanie; O’Mara, Edward; Denny, Mary Carter; Volk, Helen; Banerjee, Shailen N.; Hartstein, Alan I.; Jarvis, William R.

doi:10.1086/647702

Cited by 53 publications

(20 citation statements)

References 6 publications

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“…Change the needleless components at least as frequently as the administration set. [160][161][162][164][165][166][167] Category II 2. Change caps no more frequently than every 72 hours or according to manufacturers' recommendations.…”

Section: Health-care Worker Education and Trainingmentioning

confidence: 99%

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Guidelines for the Prevention of Intravascular Catheter-Related Infections

et al. 2002

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These guidelines have been developed for practitioners who insert catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home health-care settings. This report was prepared by a working group comprising members from professional organizations representing the disciplines of critical care medicine, infectious diseases, health-care infection control, surgery, anesthesiology, interventional radiology, pulmonary medicine, pediatric medicine, and nursing. The working group was led by the Society of Critical Care Medicine (SCCM), in collaboration with the Infectious Disease Society of America (IDSA), Society for Healthcare Epidemiology of America (SHEA), Surgical Infection Society (SIS), American College of Chest Physicians (ACCP), American Thoracic Society (ATS), American Society of Critical Care Anesthesiologists (ASCCA), Association for Professionals in Infection Control and Epidemiology (APIC), Infusion Nurses Society (INS), Oncology Nursing Society (ONS), Society of Cardiovascular and Interventional Radiology (SCVIR), American Academy of Pediatrics (AAP), and the Healthcare Infection Control Practices Advisory Committee (HICPAC) of the Centers for Disease Control and Prevention (CDC) and is intended to replace the Guideline for Prevention of Intravascular Device-Related Infections published in 1996. These guidelines are intended to provide evidence-based recommendations for preventing catheter-related infections. Major areas of emphasis include 1) educating and training health-care providers who insert and maintain catheters; 2) using maximal sterile barrier precautions during central venous catheter insertion; 3) using a 2% chlorhexidine preparation for skin antisepsis; 4) avoiding routine replacement of central venous catheters as a strategy to prevent infection; and 5) using antiseptic/antibiotic impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (ie, education and training, maximal sterile barrier precautions, and 2% chlorhexidine for skin antisepsis). These guidelines also identify performance indicators that can be used locally by health-care institutions or organizations to monitor their success in implementing these evidence-based recommendations.

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Section: Health-care Worker Education and Trainingmentioning

confidence: 99%

“…Change caps no more frequently than every 72 hours or according to manufacturers' recommendations. 160,162,165,166…”

Section: Health-care Worker Education and Trainingmentioning

confidence: 99%

Guidelines for the Prevention of Intravascular Catheter-Related Infections

et al. 2002

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“…There is no benefit to changing these more frequently than every 72 hours. [39,[187][188][189][190][191][192][193]. Category II 2.…”

Section: Replacement Of Peripheral and Midline Cathetersmentioning

confidence: 99%

“…Category II 2. Change needleless connectors no more frequently than every 72 hours or according to manufacturers' recommendations for the purpose of reducing infection rates [187,189,192,193]. Category II 3.…”

Section: Replacement Of Peripheral and Midline Cathetersmentioning

confidence: 99%

Guidelines for the Prevention of Intravascular Catheter–Related Infections

O’Grady

Alexander

Dellinger

et al. 2002

Infect Control Hosp Epidemiol

372

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“…Access-site disinfection and timely changes of the devices has been stressed as a safety measure in the prevention of needleless device-associated CRBSI. 67,94,[102][103][104][105][106] The use of well-designed antireflux devices is an effective strategy for the prevention of CRBSI when appropriately disinfected before use and replaced at recommended intervals. In summary, the prevention of catheter-related infections and thrombotic intraluminal occlusion requires strict adherence to evidence-based protocols.…”

Section: January-february 2006mentioning

confidence: 99%

Evidence‐Based Practice in the Management of Vascular Access Devices for Home Parenteral Nutrition Therapy

Ryder

2006

J Parenter Enteral Nutr

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Catheter-related bloodstream infection and catheter occlusion are potential significant complications of parenteral nutrition therapy. The increased incidence and associated morbidity, mortality, increased costs, and quality-of-life issues experienced with these adverse events necessitate specialized management of vascular access devices. The host coagulation response to biomaterials and the associated development of biofilm on vascular devices are complex phenomena. Multiple interventions are required to prevent access of bacteria to both intraluminal and extraluminal catheter surfaces, and the occurrence of catheter occlusion. The discovery of the biofilm form of microbial life and the associated recalcitrance of biofilm bacteria to antimicrobials has provided insight into the failure of current prevention, diagnostic, and treatment protocols. Critical interventions are presented correlating current evidence with new discoveries in pathogenesis.

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Increased Bloodstream Infection Rates in Surgical Patients Associated with Variation from Recommended Use and Care Following Implementation of a Needleless Device

Cited by 53 publications

References 6 publications

Guidelines for the Prevention of Intravascular Catheter-Related Infections

Guidelines for the Prevention of Intravascular Catheter-Related Infections

Guidelines for the Prevention of Intravascular Catheter–Related Infections

Evidence‐Based Practice in the Management of Vascular Access Devices for Home Parenteral Nutrition Therapy

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