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    Guidelines for the prevention of intravascular catheter-related infections

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    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
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    UMass Chan Affiliations
    Department of Anesthesiology
    Document Type
    Journal Article
    Publication Date
    2011-05-01
    Keywords
    Catheter-Related Infections
    Cross Infection
    Humans
    Infection Control
    Anesthesiology
    
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    Link to Full Text
    http://dx.doi.org/10.1016/j.ajic.2011.01.003
    Abstract
    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
    Am J Infect Control. 2011 May;39(4 Suppl 1):S1-34. Link to article on publisher's site
    DOI
    10.1016/j.ajic.2011.01.003
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/25724
    PubMed ID
    21511081
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ajic.2011.01.003
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