Central venous catheters CVCs play an integral role in healthcare, however studies have shown that they are among the most frequent cause of healthcare-associated infections HAIs. Their use is associated with a risk of bloodstream infection caused by microorganisms colonizing the external surface of the device or the fluid pathway when the device is inserted or in the course of its use. Vascular access experts say they believe that clinicians can avoid adverse events if they are meticulous in their practices and treat central lines as they life-giving and life-saving devices that they are.
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Clinical guidelines are used by the health professionals at Great Ormond Street Hospital for a wide range of conditions, treatments and tests. NOTE: We review our guidelines regularly and this guideline is now past its review date. The content of the guideline below may not reflect the most recent evidence based practice.
Already a member? Sign in. Central line-associated bloodstream infection CLABSI is a term used by the Centers for Disease Control and Prevention CDC for surveillance purposes and is defined as a laboratory-confirmed bloodstream infection not related to an infection at another site where a central line was in place within the hour period before the development of the infection CDC,
It describes key evidence-based care components of the Central Line Insertion and Maintenance Bundles and its implementation using the quality improvement methodology, namely the Plan-Do-Study-Act PDSA methodology involving multidisciplinary process and stakeholders. Monitoring of improvement over time with timely feedback to stakeholders is a key component to ensure the success of implementing best practices. A surveillance program is recommended to monitor outcomes and adherence to evidence-based central line insertion and maintenance practices compliance rate and identify quality improvement opportunities and strategically targeting interventions for the reduction of CLABSI.
Remember Me. Sign Out. Due to difficult peripheral venous access, a right internal jugular central venous catheter CVC was placed.
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Introduction: Prolonged treatment, frequent administration of chemotherapy, antibiotics and blood products in cancer patients requires long term venous access. Aim: This study was envisaged to review our experience of CVADs over a one year period and analyze the outcome with regard to catheter life, reasons for removal, complications, patient satisfaction and cost comparison between the CVAD types in the Indian setting. Settings and Design: This was a prospective, observational study carried out in a tertiary care cancer institute. Materials and Methods: CVADs placed in patients with hematological malignancies and solid tumors from January to December were included.