Year: 2025
Type: article
Abstract: Catheter insertion Subcutaneous tunneling short-term CVCs inserted in the internal jugular or femoral veins when CVCs are not used for drawing blood Yes No Full barrier precautions during CVC insertion Yes Yes Contamination shield for pulmonary artery catheters Yes Yes Preparation of insertion site with CHG-containing antiseptics Yes Yes, use alcoholic CHG Prophylaxis with vancomycin and other therapeutic agents No No Femoral vein catheter insertion No No Subclavian vein rather than internal jugular vein CVC insertion Yes Yes Preparation of insertion site with tincture of iodine Yes Yes, if alcoholic CHG unavailable Full barrier precautions during insertion of midline, peripheral artery, and pulmonary artery catheters Yes Yes Catheter maintenance Routine replacement of CVCs No Consider replace in 10-14 d*° Chlorhexidine-silver sulfadiazine-impregnated short-term CVCs Yes Yes, if CRBSI rate high Low-dose heparin for patients with short-term CVCs Yes No Specialized nursing teams caring for patients with short-term peripheral venous catheters at institutions with a high incidence of infection Yes Yes Povidone-iodine ointment applied to hemodialysis catheter insertion sites Yes No Hub with chamber filled with iodinated alcohol for CVC with an expected duration of approximately 2 weeks Yes No, use alcohol-containing end cap Povidone-iodine-saturated sponge enclosed in plastic casing fitted around the hubs of central venous catheters with an expected 2-week duration Yes No Minocycline-rifampin-impregnated short-term CVCs Yes Yes, if CRBSI rate high Triple antibiotic ointments applied to insertion sites No No Silver-impregnated subcutaneous collagen-cuffed short-term CVCs No No Silver-impregnated subcutaneous collagen-cuffed long-term CVCs No No Low-dose warfarin for patients with long-term CVCs Yes No, use thrice weekly recombinant TPA for hemodialysis catheters Transparent or gauze dressing for CVCs Yes Yes Gauze dressings when blood is oozing from the insertion site Yes Yes Adequate nurse-to-patient ratio in ICUs Yes Yes Change needleless system, device, and end cap (if present) on a regular basis in accordance with the manufacturer's guidelines and reduce contact with nonsterile water Yes Yes Continuing quality improvement programs to improve compliance with catheter care guidelines Yes Yes Remove catheters as soon as possible after intended use Yes Yes Disinfect catheter hubs and sampling ports before accessing Yes Yes Pulmonary artery catheters heparin-bonded with benzalkonium chloride Yes Yes Povidone-iodine ointment applied to insertion sites non-tunneled CVCs of immunocompromised patients with heavy Staphylococcus aureus carriage Yes No, attempt decolonization Specialized nursing teams caring for patients with catheters used for total parenteral nutrition Yes Yes Hub with chamber filled with iodinated alcohol or hub-protective povidone-iodine-saturated sponge for heavily manipulated CVCs in ICUs Yes No, use alcohol-containing end cap Mupirocin ointment applied to the insertion site No No Inline filters No No (Continued) 2
Authors: Leonard A. Mermel, Niccolò Buetti
Language: English
Subfield: Emergency Medical Services
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,550
OpenAlex ID: W4415785446