Consensus Conference on Prevention of Central Line-Associated Bloodstream Infections

Abstract

Health care-acquired infections are a significant cause of morbidity and mortality in all patient care settings. In 2009, a consensus conference was held to evaluate practices and recommendations for the prevention and control of one specific type of health care-acquired infections, those associated with central catheter use. The conference had 2 purposes--to provide a tool for quality changes within health care institutions regarding central catheter infections and to empower those who are responsible for implementing policies needed to reduce the risk of these infections. The findings of the expert panel assembled for the conference are presented in this article.

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

“…K. Education of the patient and/or family, as appropriate, is required for all CVC care procedures (eg, hand hygiene, dressing changes, intravenous administration set management, and flushing and locking), especially when transfer to an alternative setting (eg, home care, ambulatory setting) is planned. 43,242 L. Education of facility administrators is necessary to ensure adequate funding and implementation of CLABSI prevention. 242 Additionally, the goal of zero tolerance for CLABSI may be set by the chief officers of an institution; 245 B.…”

“…43,242 L. Education of facility administrators is necessary to ensure adequate funding and implementation of CLABSI prevention. 242 Additionally, the goal of zero tolerance for CLABSI may be set by the chief officers of an institution; 245 B. Evaluation involves both process and outcome measurement.…”

“…43 This would involve demonstration of procedures in a simulation lab or in the clinical setting while being observed by a qualified professional. 241,242 I. Assessment of educational programs includes the learner's satisfaction with the program, changes in knowledge, and changes in work performance.…”

Parenteral Nutrition

“…42 These measures focus primarily on CLABSI that occurs as a result of microbial migration along the extraluminal pathway, the most common route for central line contamination. 11,35,42,59 Further research into areas such as lipid-induced immune dysfunction, hyperglycemia, and biofilms may uncover additional techniques for reducing the risk of PN-associated CLABSI. 53,54 As with all central lines, PN protocols must include strategies to ensure aseptic management of the catheter hub.…”

Disinfection of Needleless Connector Hubs: Clinical Evidence Systematic Review

“…Adequate cleaning or need for additional cleaning of the septal access site may be based on the specific design features of the individual NC [2,4,5,7,70,111,129,153,[159][160][161]. New products or technology should be transitioned into a healthcare facility only after a complete evaluation of both the research and the performance of the product to determine the impact of the change on patient outcomes [71,97,98,149,160,[162][163][164][165][166].…”