Guidelines for the prevention of intravascular catheter-related infections
Authors
O'Grady, Naomi P.Alexander, Mary
Burns, Lillian A.
Dellinger, E. Patchen
Garland, Jeffery S.
Heard, Stephen O.
Lipsett, Pamela A.
Masur, Henry
Mermel, Leonard A.
Pearson, Michele L.
Raad, Issam I.
Randolph, Adrienne G.
Rupp, Mark E.
Saint, Sanjay
UMass Chan Affiliations
Department of AnesthesiologyDocument Type
Journal ArticlePublication Date
2011-05-01Keywords
AdolescentAdult
Alcohols
Antisepsis
Catheter-Related Infections
Catheterization, Central Venous
Catheterization, Peripheral
Child
Child, Preschool
Chlorhexidine
Cross Infection
Evidence-Based Medicine
Guideline Adherence
Handwashing
Health Personnel
Humans
Infection Control
Intensive Care Units
Skin
Anesthesiology
Metadata
Show full item recordAbstract
These guidelines have been developed for healthcare personnel who insert intravascular catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home healthcare settings. This report was prepared by a working group comprising members from professional organizations representing the disciplines of critical care medicine, infectious diseases, healthcare 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 Diseases 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), American Society for Parenteral and Enteral Nutrition (ASPEN), Society of Interventional Radiology (SIR), American Academy of Pediatrics (AAP), Pediatric Infectious Diseases Society (PIDS), 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 Catheter-Related Infections published in 2002. These guidelines are intended to provide evidence-based recommendations for preventing intravascular catheter-related infections. Major areas of emphasis include 1) educating and training healthcare personnel who insert and maintain catheters; 2) using maximal sterile barrier precautions during central venous catheter insertion; 3) using a > 0.5% chlorhexidine skin preparation with alcohol for 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 and chlorhexidine impregnated sponge dressings if the rate of infection is not decreasing despite adherence to other strategies (i.e, education and training, maximal sterile barrier precautions, and >0.5% chlorhexidine preparations with alcohol for skin antisepsis). These guidelines also emphasize performance improvement by implementing bundled strategies, and documenting and reporting rates of compliance with all components of the bundle as benchmarks for quality assurance and performance improvement.Source
Clin Infect Dis. 2011 May;52(9):e162-93. Epub 2011 Apr 1. Link to article on publisher's site
DOI
10.1093/cid/cir257Permanent Link to this Item
http://hdl.handle.net/20.500.14038/25725PubMed ID
21460264Related Resources
ae974a485f413a2113503eed53cd6c53
10.1093/cid/cir257