Recognition and prevention of nosocomial vascular device and related bloodstream infections in the intensive care unit

Critical Care Medicine
Paul Chittick, Robert J Sherertz

Abstract

Central venous catheters have become a mainstay in the care of critically ill patients but, unfortunately, are associated with a significant risk of bloodstream infections. There are 80,000 catheter-related bloodstream infections that occur annually in the United States, with a high human and financial cost. This paper reviews the main tools for prevention and diagnosis of central venous catheter-related bloodstream infections in the intensive care unit. We discuss specific aspects of prevention, including education, hand hygiene, sterile technique, skin cleansing, choice of catheter site, antimicrobial-impregnated catheters, catheter site dressings, antibiotic lock solutions, anticoagulation, catheter changes, and needleless connection devices. An analysis of studies evaluating the use of catheter "bundles" is also included. Diagnostic methods discussed include how to obtain blood cultures, when to culture catheter tips, how to interpret culture results, and the best methods for diagnosis.

References

Oct 8, 1992·The New England Journal of Medicine·D K CobbB M Farr
May 1, 1992·Annals of Internal Medicine·F A LederleK J Ellingson
Jan 1, 1992·Diagnostic Microbiology and Infectious Disease·I I RaadR J Sherertz
Oct 1, 1989·The Journal of Hospital Infection·K G KristinssonR C Spencer
Jan 1, 1974·The British Journal of Surgery·E J Lowbury, H A Lilly
Jan 1, 1984·Infection Control : IC·G A Ayliffe
Jun 21, 1995·JAMA : the Journal of the American Medical Association·L E DanzigW R Jarvis
Apr 6, 1994·JAMA : the Journal of the American Medical Association·I I RaadG P Bodey
Apr 1, 1993·The Journal of Infectious Diseases·L A MermelD G Maki
Mar 1, 1993·Journal of Clinical Microbiology·M B SalzmanL G Rubin
Feb 1, 1996·The Journal of Infectious Diseases·I RaadG P Bodey
Aug 1, 1997·Critical Care Medicine·D CookC Brun-Buisson
Dec 24, 1997·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·P LjungmanO Ringdén
Jan 8, 1999·The New England Journal of Medicine·R O DarouicheG Mayhall
Jul 8, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L SoufirS Chevret
Apr 15, 2000·Annals of Internal Medicine·R J SherertzE F Haponik
Oct 26, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A HumarJ M Conly
Nov 18, 2000·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·C RamsookM Nirken

❮ Previous
Next ❯

Citations

Feb 22, 2012·Medizinische Klinik, Intensivmedizin und Notfallmedizin·S DietzM Buerke
Apr 29, 2000·Journal of Clinical Nursing·A Lundgren, L K Wahren
Sep 23, 2014·American Journal of Infection Control·Mohsen Abdel Hamid GadallahGhada Wassef
Apr 26, 2013·Intensive Care Medicine·Charlotte A SmuldersAlbert P Bos
Nov 13, 2012·Revista española de anestesiología y reanimación·O M Padrón RuizA Rodríguez Pérez
Feb 14, 2012·Current Problems in Surgery·R James Valentine, Jayer Chung
Mar 15, 2012·The Surgical Clinics of North America·Steven J Schwulst, John E Mazuski
Jun 15, 2011·Critical Care Medicine·Stefan MaischDaniel A Reuter
Aug 5, 2010·Critical Care Medicine·Jan E PattersonLisa L Maragakis
Oct 9, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDeborah S Yokoe
Apr 1, 2015·The Journal of Hospital Infection·M GuembeUNKNOWN NUVE Study Group
Jun 11, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDeborah S Yokoe
Oct 27, 2016·Cadernos de saúde pública·Keroulay Estebanez RoqueEnirtes Caetano Prates Melo
Jan 23, 2016·Critical Care : the Official Journal of the Critical Care Forum·Constantin J C TrepteDaniel A Reuter
Mar 12, 2015·The Medical Journal of Australia·Damoon Entesari-TatafiEugene Athan
Aug 25, 2020·The Journal of Vascular Access·Giovanna PassaroAntonio La Greca
Mar 24, 2018·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·María GuembeUNKNOWN in behalf of the NUVE Study Group

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society
Lisa M Morgan, Dorothy J Thomas
The New England Journal of Medicine
Peter PronovostChristine Goeschel
American Journal of Respiratory and Critical Care Medicine
American Thoracic Society, Infectious Diseases Society of America
© 2021 Meta ULC. All rights reserved