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Catheter Creatures

Ocuros Disinfecting Port Protectors Presents Catheter CREATURES More than 360 million I.V. catheters are used in the US each year. While the focus of most of today's bloodstream infection (BSI) efforts are focused on a specific type of catheters known as central line catheters, all catheters carry the risk of bloodstream infection. Understanding proper catheter insertion and maintenance techniques is vital in the effort to reduce BSI rates. Check out the infographic (below) for a quick summary of the common organisms that invade catheters through the needleless valves and the measures that can prevent contamination. Catheters Are Useful For: Rapid delivery of pharmacotherapeutic drugs or compounds Volume resuscitation Hemodynamic instability/need for monitoring Blood sampling Long-term parenteral nutrition Dialysis therapy How Can Catheterized Patients Become Infected? 2 Main Routes Extraluminal ( 1 2 ) Intraluminal Catheter Tract Hub Contamination Contamination Occurs with improper or omitted disinfection of the needleless valve Occurs with improper insertion technique and poor maintenance of the insertion site. Infected Catheter Skin Vein Bacteria migrates along Accessing a contaminated I.V. port can push bacteria into the needleless valve the catheter track and becomes embedded in the protein sheath. and venous catheter. No matter the route, bacteria can grow and enter the patient's bloodstream. Meet The Catheter CREHTURES Coagulase-negative staphylococci Causes 37% of infections Gram-negative rods Causes 14% of infections Enterococcus Causes 13% of infections Staphylococcus aureus Causes 13% of infections Candida Species Causes 8% of infections Enterobacter Species Causes 5% of infections Pseudomonas aeruginosa Causes 4% of infections Klebsiella pneumoniae Causes 3% of infections Escherichia coli Causes of infections Source: The Two Most Common Sources of Catheter Related BSI (CRBSI) Insertion related CRBSI's occur within 7 days of placement. AND INSERTION The access port is the most common site of CRBSIS that occur 7 days or more after catheter insertion HUB DISINFECTION What Can You Do To Reduce The Chances of Infection? Source: cdc.go Na There are several procedures and precautions that can be followed that will help reduce the chance of infection. For example: SCRUB THE INJECTION PORT/VALVE SURFACE WITH 70% ALCOHOL FOR ATLEAST 10 To 15 SECONDS. USE A STANDARDIZED PROTOCOL To DISINFECT ALL CATHETER HUBS MINIMIZE CONTAMINATION RISK BY SCRUBBING THE ACCESS PORT WITH AN APPROPRIATE ANTISEPTIC AND ACCESSING THE PORT ONLY WITH STERILE Signature AND INJECTION PORTS BEFORE ACCESSING THE PORTS, DEVICES. DID YOU KNOW? Signature Needleless connector disinfection is infrequent and typically consists of a cursory wipe of the port or valve with 70% isopropyl alcohol Alcohol The Swabbing Method of application (using a packaged pad soaked with antiseptic) if clinicians apply friction and 70% Isopr For Disinfection Use scrub for 15 seconds. IV hub/port manufacturers only recommend the use of 70% IPA for hub disinfection. Disinfecting Port Protectors are effective at killing microbes when they are twisted onto the needle connector and left in place for 3 minutes. Source: For More Information on Catheter Maintenance visit: Ocuros

Catheter Creatures

shared by StaceySD on May 23
Bloodstream infections associated with the insertion and maintenance of central venous catheters are among the most dangerous complications that can occur. Roughly 20% of all people that get a bloodst...




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