![]() A needleless closed system device (CLAVE) protects from intravascular catheter tip and hub colonization: a prospective randomized study. Health care-associated bloodstream infections associated with negative- or positive-pressure or displacement mechanical valve needleless connectors. The effects of needleless connectors on catheter-related bloodstream infections. ![]() Journal of the Association for Vascular Access. Needleless connectors: Improving practice, reducing risks. It is critical for healthcare facilities and clinicians to take responsibility for compliance with basic principles of asepsis compliance, to involve frontline staff in strategies, to facilitate education that promotes understanding of the consequences of failure, and to comply with the standard of care for hub disinfection. Studies have reported statistically significant results in infection reduction when passive alcohol disinfection caps are used (48-86% reduction). The optimal technique or disinfection time has not been identified, although scrubbing with 70% alcohol for 5-60 seconds is recommended. ![]() The greatest risk for contamination of the catheter after insertion is the NC with 33-45% contaminated, and compliance with disinfection as low as 10%. This systematic review evaluated 140 studies and 34 abstracts on NC disinfection practices, the impact of hub contamination on infection, and measures of education and compliance. Breaks in aseptic technique, from failure to disinfect, result in contamination and subsequent biofilm formation within NC and catheters increasing the potential for infection of central and peripheral catheters. Colonization of NC is considered the cause of 50% of postinsertion catheter-related infections. Needleless connectors (NC) are used on virtually all intravascular devices, providing an easy access point for infusion connection.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |