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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Pediatric catheter-related bloodstream infections: latest strategies to decrease risk
1Department of Pediatric Critical Care, Children's Memorial Hospital, Chicago, IL 60614, USA.
Insights
Central venous catheters are essential for critically ill children but risk life-threatening infections. Adhering to evidence-based practices can significantly reduce catheter-related bloodstream infections in pediatric critical care.
Area of Science:
- Pediatric critical care medicine
- Infectious disease prevention
- Nursing science
Background:
- Central venous catheters (CVCs) are vital in pediatric critical care for medication delivery, nutrition, and monitoring.
- CVCs pose a significant risk of life-threatening infections, known as catheter-related bloodstream infections (CRBSIs).
- Advanced practice nurses play a crucial role in mitigating infection rates within critical care units.
Purpose of the Study:
- To discuss risk factors associated with CRBSIs in critically ill children.
- To review evidence-based strategies for decreasing the incidence of CRBSIs.
- To highlight current recommendations for preventing CVC infections.
Main Methods:
- Review of current literature on CVC infections in pediatric critical care.
- Analysis of risk factors contributing to CRBSIs.
- Examination of Centers for Disease Control and Prevention (CDC) guidelines for CVC care.
Main Results:
- Understanding catheter material and site selection impacts infection rates.
- Proper site preparation and ongoing site care are critical for prevention.
- Adherence to established guidelines can reduce CRBSI incidence.
Conclusions:
- Implementing best practices in CVC management is essential for patient safety.
- Advanced practice nurses can lead initiatives to reduce CRBSIs.
- Further adherence to CDC recommendations can improve outcomes in pediatric critical care.
Abstract:
Central venous catheters are often mandatory devices when caring for critically ill children. They are required to deliver medications, nutrition, and blood products, as well as for monitoring hemodynamic status and drawing laboratory samples. Any foreign object that is introduced to the body is at risk for infection. Central venous catheters carry a particularly high risk of infection and these infections can be life threatening. Advanced practice nurses possess the power to influence catheter-related line infections in their critical care units. Understanding current recommendations for catheter material selection, site selection, site preparation, and site care can affect rates of catheter-related bloodstream infections. This article discusses risk factors for developing catheter-related bloodstream infections in critically ill children, as well as measures to decrease incidence of catheter-related bloodstream infections, including a review of recommendations from the Centers for Disease Control and Prevention.
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