Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to page options Skip directly to site content

Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)

Updates

Recommendation Update [July 2017]

Update or clarification r7

Recommendation Update:

Recommendations 12 and 13 under section 6. Catheter Site Dressing Regimens have been superseded.

  1. For patients aged 18 years and older:
    1. Chlorhexidine-impregnated dressings with an FDA-cleared label that specifies a clinical indication for reducing catheter-related bloodstream infection (CRBSI) or catheter-associated bloodstream infection (CABSI) are recommended to protect the insertion site of short-term, non-tunneled central venous catheters. (Category IA).
      (See  Section 5.0 Implementation Considerations for Patients Aged 18 Years and Older).

For more information, see the Chlorhexidine-Impregnated Dressing Recommendation Update Evidence and Appendix.

  1.  For patients younger than 18 years:
    1. Chlorhexidine-impregnated dressings are NOT recommended to protect the site of short-term, non-tunneled central venous catheters for premature neonates due to risk of serious adverse skin reactions.  (Category IC).
    2. No recommendation can be made about the use of chlorhexidine-impregnated dressings to protect the site of short-term, non-tunneled central venous catheters for pediatric patients less than 18 years old and non-premature neonates due to the lack of sufficient evidence from published, high-quality studies about efficacy and safety in this age group. 14-15 (unresolved issue).

For more information, see the Chlorhexidine-Impregnated Dressing Recommendation Update Evidence and Appendix.

Edits and Changes [February 2017]

Update or clarification r7Changes to this guideline:

  • Minor content edits were made to improve clarity.
  • Spelling and punctuation were corrected.
  • Tables were formatted to be easily read by screen readers in compliance with the Americans with Disabilities Act (ADA).
  • Numbered or itemized items in paragraph format were converted to vertical numbered or bulleted lists in compliance with ADA.
  • Link text was changed to comply with ADA.
  • Live links were updated; dead links are indicated.
TOP