Pediatric catheter-related bloodstream infections: latest strategies to decrease risk.
Central venous catheters are often mandatory devices when caring for critically ill children. They are required to deliver medications, nutrition, and blood products, as well as for monitoring hemodynamic status and drawing laboratory samples. Any foreign object that is introduced to the body is at risk for infection. Central venous catheters carry a particularly high risk of infection and these infections can be life threatening. Advanced practice nurses possess the power to influence catheter-related line infections in their critical care units. Understanding current recommendations for catheter material selection, site selection, site preparation, and site care can affect rates of catheter-related bloodstream infections. This article discusses risk factors for developing catheter-related bloodstream infections in critically ill children, as well as measures to decrease incidence of catheter-related bloodstream infections, including a review of recommendations from the Centers for Disease Control and Prevention.
Kline
Andrea M
AM
Department of Pediatric Critical Care, Children's Memorial Hospital, Chicago, IL 60614, USA.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001207:Asepsis / Q000379:methods; D001458:Bandages; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000451:nursing; D002408:Catheters, Indwelling / Q000009:adverse effects; D002648:Child; D003422:Critical Care / Q000379:methods*; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D004866:Equipment Contamination / Q000517:prevention & control; D019317:Evidence-Based Medicine; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008283:Maintenance; D024802:Nurse's Role; D009730:Nursing Assessment; D010371:Pediatric Nursing / Q000379:methods; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D018570:Risk Assessment; D012307:Risk Factors; D018805:Sepsis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D017592:Skin Care / Q000379:methods / Q000451:nursing
D000900:Anti-Bacterial Agents