Survey of infection control in central venous catheters: Practice varies and is inconsistent with CDC Guidelines
Rickard, Claire & Courtney, Mary D. (1999) Survey of infection control in central venous catheters: Practice varies and is inconsistent with CDC Guidelines. In RBH Symposium, 1999, RBH Brisbane. (Unpublished)
Background: Intensive care patients with a central venous catheter are at risk of catheter-related infection, which increases morbidity, mortality and healthcare costs. Infection control practices, including care of the intravenous administration sets and catheter site, are undertaken by nurses in an attempt to avoid infection. Although practice guidelines are available, anecdotal reports suggest that infection control practices vary between practitioners and institutions; however, current practice has not been formally surveyed.
Aim: To evaluate the current infection control practices for central venous catheter care and to compare these to evidence-based practice guidelines.
Design: Prospective, cross-sectional descriptive survey.
Method: Intensive care units (n=14) from Australia were surveyed about their infection control policies for central venous catheter care. Results were tabulated and compared with evidence-based practice guidelines (Guidelines for the Prevention of Intravascular Catheter-Related Infections, Centers for Disease Control [CDC], United States).
Results: A wide variety of responses were received regarding duration of administration set use for standard, parenteral nutrition and propofol infusions; ad hoc administration set connection technique; dressing frequency, materials and solutions; and barrier precautions used during procedures. There was inconsistent adherence to the CDC Guidelines.
Conclusions: There is currently great variation in the infection control approach to central venous catheter care. Greater adherence to existing CDC Guidelines would assist in the standardisation of best practice and facilitate evidence-based care.
Impact and interest:
Citation countsare sourced monthly fromand citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.
|Item Type:||Conference Paper|
|Keywords:||Nursing, Central venous catheter, Infection control|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 1999 (please consult author)|
|Deposited On:||06 Oct 2005|
|Last Modified:||09 Jun 2010 22:25|
Repository Staff Only: item control page