Professional Documents
Culture Documents
Martin Skidmore
University of Toronto
The scope of the problem
• 15 million “CVC days” per year in USA
• Haematogenous seeding
• Contamination of infusate
Strategies for prevention of CRBSI
• Site of catheter insertion
• Type of intravascular catheters used
• The use of a closed medication system
• Differing techniques of insertion and securement
• The use of inline filters
• Procedures for tubing changes
• Procedures for dressing changes
• Routine replacement of central catheters
• The use of systemic antibiotic prophylaxis
• The use of anticoagulants.
Site of catheter insertion
• Povidone-iodine v. 2% aqueous
chlorhexidine gluconate
Site dressing regimens/securement
• Chlorhexidine–impregnated sponge
(Biopatch) over site