Guidelines for the Prevention of

Catheter-Related Bloodstream

Infection in the Intensive Care

Unit

What is catheter How do you prevent

related catheter related blood
bloodstream infection?
infection?  Educating and
training healthcare
Catheter-related bloodstream personnel who
infection (CRBSI) is defined as insert and maintain
the presence of bacteremia catheters.
originating from an  Using maximal
intravenous catheter. It is one strerile barrier
of the most frequent, lethal, precautions during
and costly complications of central vanous
central venous catheterization catheter insertion
and also the most common  Using 0.5 chloride
cause of nosocomial skin preparation
bacteremia. with alcohol for
antisepsis
METHODS
A systematic review of studies
published between January 1985
and February 2007 was carried out
using the keywords 'catheterization
- central venous' with
combinations of infection*,
prevention* and bloodstream*. All
included studies were screened by
two reviewers, a validated data
extraction instrument was used RESULTS
and data collection was completed
by two blinded independent Twenty-three studies were
reviewers. Risk ratios for catheter- included in the review. The
related bloodstream infections and strategies that reduced
catheter colonization were catheter colonization
estimated with 95% confidence included insertion of
intervals for each study. Results central venous catheters in
from studies of similar the subclavian vein rather
interventions were pooled using than other sites, use of
meta-analyses. alternate skin disinfection
solutions before catheter
insertion and use of
Vitacuff in combination
with polymyxin, neomycin
and bacitracin ointment.
Strategies to reduce
catheter-related
bloodstream infection
included staff education
multifaceted infection
control programs and
performance feedback.

DISCUSSION
Bloodstream infection refers to
the recovery of a microbial
pathogen in blood culture by
virtue of infection, not
specimen contamination.
Catheter-related bloodstream
infection (CRBSI) refers to
bloodstream infection
attributed to an intravascular
catheter by quantitative
culture of the catheter tip or
by differences in growth
between catheter and
peripheral venipuncture blood
culture specimens. A central
venous catheter is a catheter
whose tip resides in a central
vein, whereas the tip of
peripheral venous catheter
does not.

COURTESY OF:

SOURCES:
https://doi.org/10.1086/320001
https://www.ncbi.nlm.nih.gov/pmc/articles/
pmc3805442
https://www.ncbi.nlm.nih.gov/pmc/articles/P
MC2887105/