Intensive Care Medicine

, Volume 42, Issue 11, pp 1784–1786 | Cite as

What’s new in catheter-related infection: skin cleansing and skin antisepsis

  • Olivier MimozEmail author
  • Vineet Chopra
  • Jean-François Timsit
What's New in Intensive Care
Catheter-related infections (CRIs) are common, life-threatening healthcare-associated infections in intensive care unit (ICU) patients. Accumulating evidence suggests that the incidence of these infections can be decreased through discrete processes of care (Table  1) [ 1]. Because microorganisms from the skin at the site of catheter insertion are often the source of CRI [ 2], optimal skin preparation prior to short-term catheter placement is an example of such a discrete process.
Table 1

Basic bundle to prevent catheter-related infection

Use written protocol for catheter insertion and maintenance

Rub hands with alcohol-based solutions before each line manipulation

Respect full-barrier precaution at catheter insertion

Cleanse the skin with a 2 % chlorhexidine/70 % isopropyl alcohol sterile solution

Select subclavian vein as preferred access in the absence of contraindicationsa

Change non-adherent, soiled, or moistened dressing

Remove catheters that are clinically no longer necessary



Central Venous Catheter Benzalkonium Chloride Intravascular Catheter Chlorhexidine Gluconate Sterile Gauze 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with ethical standards

Conflicts of interest

OM received research grants, lecture, and consultancy fees from CareFusion. VC is supported by a career development award from the Agency for Healthcare Quality Research. JFT received research grants from 3M Company.


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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2016

Authors and Affiliations

  • Olivier Mimoz
    • 1
    • 2
    • 3
    Email author
  • Vineet Chopra
    • 4
  • Jean-François Timsit
    • 5
    • 6
    • 7
  1. 1.Urgences Adultes-SAMU 86-SMURCHU de PoitiersPoitiersFrance
  2. 2.UFR de Médecine-PharmacieUniversité de PoitiersPoitiersFrance
  3. 3.Institut National de la Santé et de la Recherche Médicale (INSERM) U1070, Pharmacologie des Agents anti-InfectieuxPoitiersFrance
  4. 4.Patient Safety Enhancement Program and Center for Clinical Management ResearchVA Ann Arbor Health System and University of MichiganAnn ArborUSA
  5. 5.Medical Intensive Care Unit, AP-HPBichat University HospitalParisFrance
  6. 6.University Paris Diderot, Sorbonne Paris CitéParisFrance
  7. 7.INSERM, UMR 1137–IAME Team 5–DeSCID: Decision Sciences in Infectious Diseases Control and CareParisFrance

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