Guidelines for the Prevention of Intravascular Catheter-related Infections

Guidelines for the Prevention of Intravascular Catheter-related Infections

2011 | Naomi P. O'Grady, Mary Alexander, Lillian A. Burns, E. Patchen Dellinger, Jeffrey Garland, Stephen O. Heard, Pamela A. Lipsett, Henry Masur, Leonard A. Mermel, Michele L. Pearson, Issam I. Raad, Adrienne G. Randolph, Mark E. Rupp, Sanjay Saint, and the Healthcare Infection Control Practices Advisory Committee (HICPAC) (Appendix 1)
The guidelines, developed by a multidisciplinary team, aim to provide evidence-based recommendations for preventing intravascular catheter-related infections (ICIs) in healthcare settings. Key recommendations include: 1. **Education and Training**: Educate healthcare personnel on proper procedures and infection control measures. 2. **Sterile Barriers**: Use maximal sterile barrier precautions during catheter insertion. 3. **Skin Preparation**: Use >0.5% chlorhexidine with alcohol for skin antisepsis. 4. **Avoid Routine Catheter Replacement**: Avoid routine replacement of central venous catheters (CVCs) as a preventive strategy. 5. **Antimicrobial Impregnated Catheters**: Use chlorhexidine-impregnated short-term CVCs and dressings if infection rates do not decrease despite other measures. The guidelines also emphasize performance improvement through bundled strategies and documentation of compliance rates. They cover various aspects such as catheter selection, hand hygiene, dressing regimens, patient cleansing, and the use of antimicrobial impregnated catheters. The goal is to reduce the incidence of ICIs and improve patient outcomes while reducing healthcare costs.The guidelines, developed by a multidisciplinary team, aim to provide evidence-based recommendations for preventing intravascular catheter-related infections (ICIs) in healthcare settings. Key recommendations include: 1. **Education and Training**: Educate healthcare personnel on proper procedures and infection control measures. 2. **Sterile Barriers**: Use maximal sterile barrier precautions during catheter insertion. 3. **Skin Preparation**: Use >0.5% chlorhexidine with alcohol for skin antisepsis. 4. **Avoid Routine Catheter Replacement**: Avoid routine replacement of central venous catheters (CVCs) as a preventive strategy. 5. **Antimicrobial Impregnated Catheters**: Use chlorhexidine-impregnated short-term CVCs and dressings if infection rates do not decrease despite other measures. The guidelines also emphasize performance improvement through bundled strategies and documentation of compliance rates. They cover various aspects such as catheter selection, hand hygiene, dressing regimens, patient cleansing, and the use of antimicrobial impregnated catheters. The goal is to reduce the incidence of ICIs and improve patient outcomes while reducing healthcare costs.
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