Prevention of central venous catheter-related infections: what works other than impregnated or coated catheters?
Catheter-related bloodstream infections (CRBSI) are a significant cause of morbidity and excess hospital cost. Data from prospective, randomized trials demonstrate that the risk of these infections can be minimized by simple interventions. Changing the behaviour of healthcare workers who insert and care for intravascular catheters is imperative. Creating a culture of patient safety and assuring easy access to the products necessary to maintain strict asepsis during catheter insertion, dressing changes, and when manipulating catheter hubs, will enhance adherence to optimal practice and will reduce the risk posed to the millions of patients in need of such devices.
Mermel
Leonard A
LA
Division of Infectious Diseases, Department of Medicine, Rhode Island Hospital, RI 028903, USA.
D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000382:microbiology*; D003428:Cross Infection / Q000517:prevention & control*; D006801:Humans; D017053:Infection Control / Q000295:instrumentation; D018805:Sepsis / Q000517:prevention & control*
D000891:Anti-Infective Agents, Local