Infectious and thrombotic complications of central venous catheters.
OBJECTIVE
To provide a review of the pathogenesis, prevention, and management strategies of infectious and thrombotic complications of central venous access devices (CVADs).


METHODS
Journal articles, case reports, product information, personal experience, professional guidelines.


CONCLUSIONS
Infectious and thrombotic catheter-related complications are common and serious complications that can negatively impact patient outcomes. There has been significant national attention on patient safety, and in particular, the prevention of catheter-related bloodstream infections.


CONCLUSIONS
Clinicians have a crucial role in preventing and identifying CVAD-related complications. Understanding the pathogenesis of infectious and thrombotic complications, the principles of best practice, and adhering to these practices consistently, in all practice settings, are critical in order to minimize unnecessary risks to patients with an indwelling CVAD.
Nakazawa
Nadine
N
Stanford Hospital & Clinics, Stanford, CA, USA. nnakazawa17@hotmail.com
D019985:Benchmarking; D055499:Catheter-Related Infections / Q000209:etiology / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation / Q000451:nursing; D011232:Chemical Precipitation; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control; D004866:Equipment Contamination / Q000517:prevention & control; D006801:Humans; D017053:Infection Control / Q000379:methods*; D024802:Nurse's Role; D009859:Oncology Nursing / Q000379:methods*; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D012449:Safety; D018805:Sepsis / Q000209:etiology / Q000517:prevention & control; D012867:Skin / Q000382:microbiology; D017592:Skin Care / Q000379:methods / Q000451:nursing; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control