Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update

In ICU and non-ICU settings, a facility should have a process in place, such as a checklist, to ensure adherence to infection prevention practices at the time of CVC insertion (Quality of Evidence: MODERATE)101 2. Use an antiseptic-containing hub/connector cap/port protector to cover connectors (Qua...

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Veröffentlicht in:Infection control and hospital epidemiology 2022-05, Vol.43 (5), p.553-569
Hauptverfasser: Buetti, Niccolò, Marschall, Jonas, Drees, Marci, Fakih, Mohamad G., Hadaway, Lynn, Maragakis, Lisa L., Monsees, Elizabeth, Novosad, Shannon, O’Grady, Naomi P., Rupp, Mark E., Wolf, Joshua, Yokoe, Deborah, Mermel, Leonard A.
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container_issue 5
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container_title Infection control and hospital epidemiology
container_volume 43
creator Buetti, Niccolò
Marschall, Jonas
Drees, Marci
Fakih, Mohamad G.
Hadaway, Lynn
Maragakis, Lisa L.
Monsees, Elizabeth
Novosad, Shannon
O’Grady, Naomi P.
Rupp, Mark E.
Wolf, Joshua
Yokoe, Deborah
Mermel, Leonard A.
description In ICU and non-ICU settings, a facility should have a process in place, such as a checklist, to ensure adherence to infection prevention practices at the time of CVC insertion (Quality of Evidence: MODERATE)101 2. Use an antiseptic-containing hub/connector cap/port protector to cover connectors (Quality of Evidence: MODERATE)202–208 Approaches that Should Not Be Considered a Routine Part of CLABSI Prevention 1. Necessity of mechanical disinfection of a catheter hub, needleless connector, and injection port before accessing the catheter when antiseptic-containing caps are being used Essential practices The subclavian vein is considered the preferable site for central venous catheter (CVC) insertion in the intensive care setting to reduce infectious complications. Methods SHEA recruited 3 subject-matter experts in the prevention of CLABSI to lead the panel of members representing the Compendium partnering organizations: SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, as well as representation by the Centers for Disease Control and Prevention (CDC).
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subjects Bacteremia - prevention & control
Blood products
Catheter-Related Infections - prevention & control
Catheterization, Central Venous
Catheters
Central Venous Catheters
Connectors
Cross Infection - prevention & control
Disease control
Epidemiology
Hemodialysis
Hospitals
Humans
Infections
Infectious diseases
Librarians
Medical instruments
Prevention
Sepsis - prevention & control
SHEA/IDSA/APIC Practice Recommendation
Ultrasonic imaging
title Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update
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