Prävention Gefäßkatheterassoziierter Infektionen

Surveillance with successful reduction of central line-associated bloodstream infections among neutropenic patients with hematologic or oncologic malignancies

“…Compared with reference data the rates were presented to the healthcare workers in the ward. Within the following weeks an intensive training course was conducted for the clinical staff to improve the prevention measures concerning the handling of central venous lines according to national and international guidelines [12,13].…”

Access technique and its problems in parenteral nutrition – Guidelines on Parenteral Nutrition, Chapter 9

“…Catheters placed through the jugular vein are associated with an increased rate of local haematomas, arterial damage and catheter-associated infections as compared to subclavian and femoral catheters [53], [54], [55], [56], [57], [58]. On the other hand, subclavian catheters are associated with an increased risk of pneumothorax as compared to jugular catheters [13], [14], [54], [59], [60], [61]. …”

“…Antibiotic prophylaxis during catheter insertion, for prevention of line-induced infections, is not useful [61], [124], [125], [126]. The prophylactic use of antibiotic-containing creams promote resistant flora and fauna, and should, therefore, not be used [20], [127].…”

Improving patient safety during insertion of peripheral venous catheters: an observational intervention study

“…In Germany, insertion of peripheral venous catheters is a fairly simple procedure performed by doctors and nurses in specific steps. Optimum patient safety requires implementing a standard operating procedure (SOP) based on evidence-based guidelines, e.g., from the CDC, RKI or WHO [5], [6], [7]. The CDC recommends preventing intravascular catheter-related infections using a hospital-specific initiative that combines multifaceted strategies to improve compliance with evidence-based recommended practices (category IB) [7].…”