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Mechanisms to Prevent Infection: Invasive Monitoring

Published online by Cambridge University Press:  15 June 2005

Aileen Burton
Aileen Burton
Affiliation:
School of Nursing and Midwifery, University College Cork, Ireland
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Abstract

Intravenous therapy is an essential part of clinical care used in a wide variety of healthcare settings. Thus, intravenous catheters have become indispensable to clinical practice. However, catheter related infections are a major source of morbidity and mortality with rates as high as 10% to 20%. Current guidance recommends a number of strategies to reduce the incidence of catheter-related infections. These include skin preparation, avoiding glove contamination when handling and inserting catheters and the choice of material used.

Strategies to prevent infection need to change and develop to reflect the advances in technology and delivery of healthcare.

Keywords

Invasive monitoringInfection preventionIntravascular catheters
Type
Original Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 6 , Issue 2 , June 2005 , pp. 26 - 30
Copyright
© 2005 Cambridge University Press

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References

REFERENCES

Bisset WM, Stapleford P, Long S, Chamberlain A, Sokel B, Milla PJ. Home parenteral nutrition in chronic intestinal failure. Archives of Disease in Childhood 1992; 67 (1): 109–114.Google Scholar
Cook D, Randolph A, Kernerman P et al. Central venous replacement strategies: a systematic review of the literature. Critical Care Medicine 1997; 25: 1417–1424.Google Scholar
Coulter A. Evidence based patient information. British Medical Journal 1998; 317 (7153): 225–226.Google Scholar
Chaiyakunapruk N, Veenstra DL, Lipsky BA, Saint S. Chlorhexidine compared with providone-iodine solution for vascular catheter care site care: a meta analysis. Annals of Internal Medicine June 2002; 136 (11):792–801.
Christoph H, Salwender HJ, Bach A. Catheter related infection and thrombosis of the jugular vein in hematologic-onologic-patients undergoing chemotherapy. Cancer 2002; 94: 245–251.Google Scholar
Gabriel J. Care and management of peripherally inserted central catheters. British Journal of Nursing 1996; 5 (1): 594–597.Google Scholar
Gould D. Giving infection control a big hand. Community Nursing Notes 1997; 15 (1): 3–6.Google Scholar
Kite P, Dobbins BM, Wilcox MH et al. Evaluation of a novel endoluminal brush method for in situ diagnosis of catheter related sepsis. Journal of Clinical Pathology 1997; 5: 278–282.Google Scholar
Kocent H, Corke C, Alajeel A, Graves S. Washing of gloved hands in antiseptic solution prior to central venous line insertion reduces contamination. Anaesthesia and Intensive Care Jun 2002; 30 (3): 338–340.Google Scholar
Lamb J. Legal and professional aspects of intravenous therapy in nursing practice. L Dougherty and J Lamb (eds). Edinburgh: Churchill Livingstone, 1999; 3–19.
Mermel LA, Mc Cormick RD, Springman SR, Maki DG. The pathogenesis and epidemiology of catheter related infections with pulmonary artery swan-ganz catheters. American Journal of Medicine 1991; 91 (suppl 3b): 197s–295s.
Merrer J, De Jonghe B, Golliot F et al. Complications of femoral and subclavian venous cauterization in critically ill patients: a randomized controlled trial. Journal of the American Medical Association 2001; 286: 700–707.Google Scholar
O'Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, Masur H, McCormick RD, Mermel LA, Pearson ML, Raad II, Randolp A, Weinstein RA. Guidelines for the prevention of intravascular catheter related infections. Morbidity & Mortality Weekly Report 2002; 51: 1–29.Google Scholar
Pittet D, Mourange P, Pernneger T. Compliance with hand washing in a teaching Hospital. Annals of Internal Medicine 1999; 130 (2): 126–130.Google Scholar
Raad II, Hohn DC, Gillbreath BJ et al. Prevention of central venous catheter related infections by using maximal sterile barrier precautions during insertion. Infection Control Hospital Epidemiology 1994; 15: 231–238.Google Scholar
Randolph AG, Cook DJ, Gonzales LA et al. Benefits of heparin use in central venous catheters and pulmonary artery catheters: a meta analysis of randomized controlled trial. Chest 1998; 113 (1): 165–171.Google Scholar
Rees J. Washing instructions. Nursing Times 1999; 93 (37): 74.Google Scholar
Rondall K, Lane MD, Michael A, Matthay MD. Central line infections. Current Opinion in Critical Care 2002; 8: 441–448.Google Scholar
Saint S, Savel RH, Matthay MA. Enhancing the safety of critically ill patients by reducing urinary and central venous catheter related infections. American Journal of Respiratory and Critical Care Medicine 2002; 165: 1475–1479.Google Scholar
Soifer NE, Borzak S, Edlin BR et al. Prevention of peripheral venous catheter complications with an intravenous therapy team: a randominized controlled trial. Archives of Internal Medicine 1998; 158: 473–477.Google Scholar
Worthington T, Tebbs S, Mass H et al. Are contaminated flush solutions an overlooked source for catheter related infections. Journal of Hospital Infection 2001; 49: 81–83.Google Scholar