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CVCrBSIs

 

Principal investigators: Dr David Swann, Dr Andrew Longmate, Dr Chris Cairns

 

Aims: To examine the evidence for strategies designed to reduce the rates of CVC related blood stream infection.

 

Current state: Complete. August 1st 2005.

 

EBM Reviews Catheter Site Skin Prep Catheter Type Needleless connectors Sterile Technique

 

Preventing Catheter-related Blood Stream Infection – summary of the evidence

 

  • There is no strong evidence that choosing the subclavian over the interval jugular route leads to a decrease in CVCrBSIs. However, the subclavian site may be associated with less catheter colonisations. The clinical significance of this is unclear. (7 cats) Link.

 

  • Antisepsis of insertion site with chlorhexidine.(5 cats). Link.

 

  • Consider the use antiseptic catheters.(21 cats). Link.

 

  • Use needleless connectors. (One cat). Link.

 

  • Maximal sterile barrier precautions should be used. These include donning a disposable cap, mask, gown and gloves and use of a large drape. (One cat). CAT.

 

Bear in mind that the lack of evidence of a beneficial effect is not evidence of a lack of beneficial effect.

Dr David Swann, September 2005

Reviewed by BC & MD.