Preventing Vascular Catheter-Related Infections: Current Controversies
Prevention of vascular catheter-related infection remains an important priority. This review focuses on salient controversies regarding optimal preventive methods. Intensity of surveillance for nosocomial infections was the single most important predictor of prevention in the Study of the Efficacy o...
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| Veröffentlicht in: | Clinical infectious diseases 2001-11, Vol.33 (10), p.1733-1738 |
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| creator | Weinstein, Robert A. Farr, Barry M. |
| description | Prevention of vascular catheter-related infection remains an important priority. This review focuses on salient controversies regarding optimal preventive methods. Intensity of surveillance for nosocomial infections was the single most important predictor of prevention in the Study of the Efficacy of Nosocomial Infection Control (SENIC). Used suboptimally by most hospitals in the SENIC study, surveillance is probably conducted even less today. There has been one randomized trial of the optimal method of aseptic insertion for central venous catheters and none comparing the 2 most frequently used sites. Scheduled replacement did not prevent infection in multiple randomized trials but, according to a recent survey, was still being used frequently. Chlorhexidine preparation of skin before and during catheterization has significantly reduced colonization of catheters in multiple randomized trials and should be used. Impregnation of catheter and/or hub surfaces with antiseptics raises less concern about fostering the development of antibiotic resistance than does the use of antibiotics for this purpose. |
| doi_str_mv | 10.1086/323402 |
| format | Article |
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This review focuses on salient controversies regarding optimal preventive methods. Intensity of surveillance for nosocomial infections was the single most important predictor of prevention in the Study of the Efficacy of Nosocomial Infection Control (SENIC). Used suboptimally by most hospitals in the SENIC study, surveillance is probably conducted even less today. There has been one randomized trial of the optimal method of aseptic insertion for central venous catheters and none comparing the 2 most frequently used sites. Scheduled replacement did not prevent infection in multiple randomized trials but, according to a recent survey, was still being used frequently. Chlorhexidine preparation of skin before and during catheterization has significantly reduced colonization of catheters in multiple randomized trials and should be used. Impregnation of catheter and/or hub surfaces with antiseptics raises less concern about fostering the development of antibiotic resistance than does the use of antibiotics for this purpose.</description><subject>Anti-Infective Agents - administration & dosage</subject><subject>Antibiotics</subject><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Biological and medical sciences</subject><subject>Catheter related infections</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - methods</subject><subject>Catheters</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Epidemiology</subject><subject>Experimentation</subject><subject>Health care industry</subject><subject>Healthcare Epidemiology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infection - etiology</subject><subject>Infection - microbiology</subject><subject>Infection control</subject><subject>Infection Control - methods</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Mortality</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1v1DAQBmCrouoX8AsQCodyC3j8ETu9oahlq65KVZWq6sVy7AmkZJOt7VTl3xOU1faEONnS-8yM9BLyFugnoLr4zBkXlO2QA5Bc5YUs4dX0p1LnQnO9Tw5jfKAUQFO5R_YBZCnLkh2Qs6uAT9intv-R3droxs6GrLLpJyYM-TV2NqHPzvsGXWqHPp5k1RjCNJBVQ5_C8IQhthhfk93GdhHfbN4j8v3s9KZa5MtvX8-rL8vcCclTbjWAULbwroTagpI1lsoJrS11qGoAVXDhLfMFek8Z11gjs7XnjUSvCsePyMd57zoMjyPGZFZtdNh1tsdhjEYxBqyU-r8QtJAA04ktdGGIMWBj1qFd2fDbADV_qzVztRN8v9k41iv0L2zT5QSON2Dq0XZNsL1r44sTwEvOxOQ-zG4Y1_8-9m42DzENYauE0EwrOcX5HLcx4fM2tuGXKRRX0izu7s0CLq-WF1KYO_4HdFmisw</recordid><startdate>20011115</startdate><enddate>20011115</enddate><creator>Weinstein, Robert A.</creator><creator>Farr, Barry M.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20011115</creationdate><title>Preventing Vascular Catheter-Related Infections: Current Controversies</title><author>Weinstein, Robert A. ; Farr, Barry M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-a81147a6dc91ba175be97c488a0ce7b117634da2d6edd0238ebe2abd3f5ed76c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Anti-Infective Agents - administration & dosage</topic><topic>Antibiotics</topic><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Biological and medical sciences</topic><topic>Catheter related infections</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - methods</topic><topic>Catheters</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Epidemiology</topic><topic>Experimentation</topic><topic>Health care industry</topic><topic>Healthcare Epidemiology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infection - etiology</topic><topic>Infection - microbiology</topic><topic>Infection control</topic><topic>Infection Control - methods</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weinstein, Robert A.</creatorcontrib><creatorcontrib>Farr, Barry M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weinstein, Robert A.</au><au>Farr, Barry M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preventing Vascular Catheter-Related Infections: Current Controversies</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2001-11-15</date><risdate>2001</risdate><volume>33</volume><issue>10</issue><spage>1733</spage><epage>1738</epage><pages>1733-1738</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Prevention of vascular catheter-related infection remains an important priority. This review focuses on salient controversies regarding optimal preventive methods. Intensity of surveillance for nosocomial infections was the single most important predictor of prevention in the Study of the Efficacy of Nosocomial Infection Control (SENIC). Used suboptimally by most hospitals in the SENIC study, surveillance is probably conducted even less today. There has been one randomized trial of the optimal method of aseptic insertion for central venous catheters and none comparing the 2 most frequently used sites. Scheduled replacement did not prevent infection in multiple randomized trials but, according to a recent survey, was still being used frequently. Chlorhexidine preparation of skin before and during catheterization has significantly reduced colonization of catheters in multiple randomized trials and should be used. Impregnation of catheter and/or hub surfaces with antiseptics raises less concern about fostering the development of antibiotic resistance than does the use of antibiotics for this purpose.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>11595992</pmid><doi>10.1086/323402</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Anti-Infective Agents - administration & dosage Antibiotics Bacterial diseases Bacterial sepsis Biological and medical sciences Catheter related infections Catheterization, Central Venous - adverse effects Catheterization, Central Venous - methods Catheters Catheters, Indwelling - adverse effects Epidemiology Experimentation Health care industry Healthcare Epidemiology Human bacterial diseases Humans Infection - etiology Infection - microbiology Infection control Infection Control - methods Infections Infectious diseases Medical sciences Mortality |
| title | Preventing Vascular Catheter-Related Infections: Current Controversies |
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