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2011 Guidelines for the Prevention of Intravascular Catheter-Related Infections

Download the complete 2011 Guidelines for the Prevention of Intravascular Catheter-Related Infections [PDF - 1.05 MB]

Naomi P. O'Grady, M.D.[1], Mary Alexander, R.N.[2], Lillian A. Burns, M.T., M.P.H., C.I.C.[3], E. Patchen Dellinger, M.D.[4], Jeffery Garland, M.D., S.M.[5], Stephen O. Heard, M.D.[6], Pamela A. Lipsett, M.D.[7], Henry Masur, M.D.[1], Leonard A. Mermel, D.O., Sc.M.[8], Michele L. Pearson, M.D.[9], Issam I. Raad, M.D.[10], Adrienne Randolph, M.D., M.Sc.[11], Mark E. Rupp, M.D.[12], Sanjay Saint, M.D., M.P.H.[13] and the Healthcare Infection Control Practices Advisory Committee (HICPAC)[14].

  1. Critical Care Medicine Department, National Institutes of Health, Bethesda, Maryland;
  2. Infusion Nurses Society, Norwood, Massachusetts;
  3. Staten Island University Hospital, Staten Island, New York;
  4. Department of Surgery, University of Washington, Seattle, Washington;
  5. Department of Pediatrics, Wheaton Franciscan Healthcare-St. Joseph, Milwaukee, Wisconsin;
  6. Department of Anesthesiology, University of Massachusetts Medical School, Worcester, Massachusetts;
  7. Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland;
  1. Division of Infectious Diseases, Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island;
  2. Office of Infectious Diseases, CDC, Atlanta, Georgia;
  3. Department of Infectious Diseases, MD Anderson Cancer Center, Houston, Texas;
  4. Department of Anesthesiology, The Children's Hospital, Boston, Massachusetts;
  5. Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska; and
  6. Department of Internal Medicine, Ann Arbor VA Medical Center and University of Michigan, Ann Arbor, Michigan

14 Healthcare Infection Control Practices Advisory Committee


BRENNAN, Patrick J., MD
Chief Medical Officer
Division of Infectious Diseases
University of Pennsylvania Health System

Executive Secretary

BELL, Michael R., MD
Deputy Director
Division of Healthcare Quality Promotion
Centers for Disease Control and Prevention


BRATZLER, Dale, DO, MPH President and CEO Oklahoma Foundation for Medical Quality

BURNS, Lillian A., MT, MPH Infection Control Coordinator Greenwich Hospital, Infectious Diseases Department

ELWARD, Alexis, MD Assistant Professor, Pediatrics Infectious Diseases Washington University School of Medicine Department of Pediatrics Division of Infectious Diseases

HUANG, Susan, MD, MPH Assistant Professor Medical Director, Epidemiology and Infection Prevention Division of Infectious Diseases UC Irvine School of Medicine

LUNDSTROM, Tammy, MD, JD Chief Medical Officer Providence Hospital

MCCARTER, Yvette S., PhD Director, Clinical Microbiology Laboratory Department of Pathology University of Florida Health Science Center

MURPHY, Denise M. RN, MPH, CIC Vice President, Quality and Patient Safety Main Line Health System

OSTROFF, Stephen, MD Director, Bureau of Epidemiology Pennsylvania Department of Health

OLMSTED, Russell N., MPH, CIC Epidemiologist Infection Control Services St. Joseph Mercy Health System

PEGUES, David Alexander, MD Professor of Medicine, Hospital Epidemiologist David Geffen School of Medicine at UCLA

PRONOVOST, Peter J., MD, PhD, FCCM Director, Johns Hopkins Quality and Safety Research Group Johns Hopkins Quality and Safety Research Group

SOULE, Barbara M., RN, MPA, CIC Practice Leader Infection Prevention and Control Services Joint Commission Resources/Joint Commission International

SCHECTER, William, P., MD Professor of Surgery Department of Surgery San Francisco General Hospital

Ex-officio Members

Agency for Healthcare Research and Quality (AHRQ)
BAINE, William B., MD Senior Medical Advisor Center for Outcomes and Evidence

Center for Medicare & Medicaid Services (CMS)
MILLER, Jeannie, RN, MPH Deputy Director, Clinical Standards Group

Food and Drug Administration (FDA)
MURPHEY, Sheila A., MD Branch Chief, Infection Control Devices Division of Anesthesiology, General Hospital Infection Control Dental Devices Center for Devices and Radiology Health

National Institute of Health (NIH)
HENDERSON, David, MD Deputy Director for Clinical Care Associate Director for Hospital Epidemiology and Quality Improvement NIH Clinical Center

Department of Veterans Affairs (VA)
ROSELLE, Gary A., MD National Program Director, Infectious Diseases VA Central Office Cincinnati VA Medical Center


Advisory Council for the Elimination of Tuberculosis (ACET)
STRICOF, Rachel L., MPH New York State Department of Health

American College of Occupational and Environmental Medicine
RUSSI, Mark, MD, MPH Professor of Medicine Yale University School of Medicine Director, Occupational Health Yale-New Haven Hospital

American Health Care Assn (AHCA)
FITZLER, Sandra L., RN Senior Director of Clinical Services

American Hospital Association (AHA)
SCHULMAN, Roslyne, MHA, MBA Director, Policy Development

Association of Professionals of Infection Control and Epidemiology, Inc. (APIC)
DeBAUN, Barbara, MSN, RN, CIC

Association of periOperative Registered Nursed (AORN)

Council of State and Territorial Epidemiologists (CSTE)
KAINER, Marion MD, MPH Director, Hospital Infections and Antimicrobial Resistance Program Tennessee Department Health

Consumers Union
MCGIFFERT, Lisa Senior Policy Analyst on Health Issues Project Director Stop Hospital Infections Organization

Infectious Disease Society of America (IDSA)
HUSKINS, W. Charles MD, MSc Division of Pediatric Infectious Diseases Assistant Professor of Pediatrics Mayo Clinic

Public Health Agency of Canada
PATON, Shirley, RN, MN Senior Advisor Healthcare Acquired Infections Center for Communicable Diseases and Infection Control

Society for Healthcare Epidemiology of America (SHEA)
MARAGAKIS, Lisa, MD Assistant Professor of Medicine John Hopkins Medical Institutions

Society of Hospital Medicine
SAINT, Sanjay, MD, MPH Director, Ann Arbor VA Medical Center/University of Michigan Patient Safety Enhancement Program

The Joint Commission
WISE, Robert A., MD Vice President Division of Standards & Survey Methods


We wish to acknowledge Ingi Lee, MD, MSCE and Craig A. Umscheid, MD, MSCE from Center for Evidence-based Practice, University of Pennsylvania Health System Philadelphia, PA who performed a systematic review for issues raised the during the guideline process.

Disclosure of potential conflicts of interests. N.P.O.’G. served as a board member for the ABIM Subspecialty Board for Critical Care Medicine. M.A. is an employee of the Infusion Nurses Society, Honoraria from 3M, Becton Dickinson, Smiths Medical. L.A.B. is a consultant for Institute of Healthcare Improvement, Board membership for Theradoc, Medline. Honoraria from APIC, Clorox. E.P.D. consulting from Merck, Baxter, Ortho-McNeil, Targanta, Schering-Plough, Optimer, Cadence, Cardinal, BDGeneOhm, WebEx, Cerebrio, and Tyco. Grant support through the NIH. Payment for lecture from Merck. Payment for development of educational presentation from Medscape. Travel and meeting expenses paid for by ASHP, IDSA, ASM, American College of Surgeons, NQF, SHEA/CDC, HHS, Trauma Shock Inflammation and Sepsis Meeting (Munich), University of Minnesota. J.G. Honoria from Ethicon. S.O.H. provides research support from Angiotech; Honoraria from Angiotech, Merck. L.A.M provides research support from Astellas, Theravance, Pfizer; Consulting for Ash Access, Cadence, CorMedix, Catheter Connections, Carefusion, Sage, Bard, Teleflex; Payment for manuscript preparation from Catheter Connections. I.I.R. provides research support from Cubist, Enzon, and Basilea; Consulting for Clorox; Stock Equity or Options in Great Lakes Pharmaceuticalsand Inventive Protocol; Speakers Bureau for Cook, Inc.; Royalty income (patents owned by MD Anderson on which Dr. Raad in an inventor: American Medical Systems, Cook, Inc., Cook urological, Teleflex, TyRx, Medtronic, Biomet, Great Lakes Pharmaceuticals. A.R. consulting income from Eisai Pharmaceuticals, Discovery Laboratories. M.E.R. provides research support from Molnlycke, Cardinal Healthcare Foundation, Sanofi-Pasteur, 3M, and Cubist; Consulting from Semprus; Honorarium for lectures from 3M, Carefusion, Baxter and Becton Dickinson. Previously served on Board of Directors for Society for Healthcare Epidemiology of America. All other authors: no conflicts.

Disclamer: Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services.

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