Innovative Strategies for Preventing Central-Line Associated Infections

New Technologies and Advances in Infection Prevention (AR Marra, Section editor)

DOI: 10.1007/s40506-013-0001-1

Cite this article as:
Bouza, E., Guembe, M. & Pérez-Granda, M.J. Curr Treat Options Infect Dis (2014) 6: 1. doi:10.1007/s40506-013-0001-1
  • 176 Downloads

Opinion statement

In recent years, healthcare associated infections (HAIs), and central line-associated bloodstream infections in particular (CLABSI), are being viewed as “preventable” events. It has been estimated that up to 70 % of CLABSI episodes may be preventable with the implementation of evidence-based strategies pretending to reach the zero incidence. The most effective procedures, which have demonstrated to reduce significantly CLABSI rates, are preventive bundles, which consists of a set of measures to be carried out during both catheter insertion and maintenance. These measures are mainly the following: implementing continuous education and training of healthcare personnel workers, using maximal sterile barrier precautions during insertion, performing skin disinfection with 2 % alcoholic chlorhexidine, avoiding the femoral site, and removing unnecessary catheters. However, these strategies have been performed mainly in the intensive care units (ICUs) with much less emphasis and efforts in non-ICU wards. There is also a need to introduce other novel strategies to reduce the CLABSI rates such as using catheter lock antiseptic solutions, using antiseptic impregnated sponges and dressings, designating a surveillance nurse to monitor central lines, or keeping a record of the insertion and maintenance procedures using a checklist.

Keywords

Central-line associated bloodstream infection Catheter-related bloodstream infection Prevention Catheter insertion bundles Catheter care bundles Educational measures Interventional measures Novel strategies Antibiotic lock therapy Antiseptic impregnated sponges Antiseptic impregnated dressings Checklist Surveillance program 

Copyright information

© Springer Science + Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Clinical Microbiology and Infectious DiseasesHospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañonMadridSpain
  2. 2.Medicine Department, School of MedicineUniversidad Complutense de MadridMadridSpain
  3. 3.CIBER de Enfermedades Respiratorias (CIBERES CD06/06/0058)Palma de MallorcaSpain
  4. 4.Cardiac Surgery Postoperative Care UnitHospital General Universitario Gregorio MarañónMadridSpain
  5. 5.Servicio de Microbiología Clínica y Enfermedades InfecciosasHospital General Universitario Gregorio MarañónMadridSpain

Personalised recommendations