[Prevention of catheter-related bloodstream infections in the operation room].
Catheter-related bloodstream infections (CRBSIs) are recognized as an important and serious problem, especially in an intensive care unit (ICU), since they have far higher infection rates compared to those for other type of intravascular devices. However, in the operation room, there seems to be little concern among anesthesiologists regarding this problem. It is important for anesthesiologists to understand that CRBSIs can be prevented or reduced by evidence-based interventions such as hand hygiene, education in hand washing and alcohol-based hand rubbing, sterile catheter care techniques, proper skin disinfection, maximal barrier precautions during catheter insertion, choice of subclavian vein placement, avoidance of femoral vein placement, and removal of an unnecessary catheter. This evidence is based mainly on findings in ICU patients, but introduction of these interventions into operation rooms may be very useful for reducing perioperative CRBSIs.
Ema
Yoshiaki
Y
Department of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya 466-8550.
Nishiwaki
Kimitoshi
K
D017848:Blood-Borne Pathogens; D055499:Catheter-Related Infections / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control*; D002404:Catheterization / Q000009:adverse effects*; D002405:Catheterization, Central Venous; D004203:Disinfection; D006235:Hand Disinfection; D006801:Humans; D017053:Infection Control; D009873:Operating Rooms; D017410:Practice Guidelines as Topic