SHEA, APIC Update CLABSI Guidelines
One goal is to revisit infection prevention at a critical moment
- The subclavian vein now is considered the preferable site for central venous catheter insertion in intensive care patients to reduce infectious complications.
- Routine replacement of administration sets not used for blood, blood products, or lipid formulations can be performed at intervals of up to seven days. Previously, this interval was no longer than four days.
- Antimicrobial ointment for the catheter site, which is geared toward the population of hemodialysis patients, has been moved to “additional practices” given the focus on a specific population.
- Despite currently being supported by high-level evidence, antiseptic-containing caps remain an “additional practice” because they are not considered superior to manual disinfection, an essential practice.
- Previously considered an unresolved issue, the importance of infusion teams has been highlighted by listing it under “additional practices.”
REFERENCE
- Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 update. Infect Control Hosp Epidemiol 2022;43:553-569.
Chlorhexidine-containing dressings are now considered an “essential practice” for the prevention of central line-associated bloodstream infections in patients older than age 2 months, according to a consensus paper by five medical societies and associations.
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