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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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). |
doi_str_mv | 10.1017/ice.2022.87 |
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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).</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2022.87</identifier><identifier>PMID: 35437133</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>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</subject><ispartof>Infection control and hospital epidemiology, 2022-05, Vol.43 (5), p.553-569</ispartof><rights>The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America</rights><rights>The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). 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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. 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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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