Central Line Associated Blood Stream Infection Care: A Case Study

Central Venous Catheter Care: A Case Study

  • Pattaraporn Sripromma

Abstract

Central venous catheter is necessary for hemodynamic monitoring of patients with high concentrations of medication and fluid in place of peripheral veins in order to prevent the occurrence of phlebitis.  The nursing care of patients who inserted a catheter must be aware of the complication from catheter insertion, which can occur immediately when a catheter is inserted and delayed complications. The occurrence of delayed complications is common,

including central line-associated bloodstream infection (CLABSI). This occurrence can increase the opportunities for deaths and the cost of caring for patients in hospitals. Therefore, nurses

must have knowledge and skills for caring for patients who have a central venous catheter with the purpose of reducing patients’ complications.

Keywords: central venous catheter / central line-associated bloodstream infection / nursing care

Downloads

Download data is not yet available.

References

Agarwal A, Singh DK, Singh AP. (2009). Ultrasonography: a novel approach to central venous cannulation. Indian J Crit Care Med. 13:213-6.
Apibunyopas Y. (2014). Central venous catheterization. Thammasat Medical Journal. 14(1): 79-92.
Brown SV, Baier R. (2010). Central Line-Associated Bloodstream Infections (CLABSI) in Rhode Island. Med Health R I. 93(9):289-90.
Caroline O'Neil, MA, Kelly Ball, Helen Wood, Kathleen, McMullen, Pamala Kremer S. Reza Jafarzadeh. (2016). A Central Line Care Maintenance Bundle for the Prevention of Catheter-Associated Bloodstream Infection in Non-ICU Settings. Infect Control Hosp Epidemiol. 37(6): 692–698
Centers for Disease Control. [Internet]. Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011. cited 2019 sep 6]. Available from: https://www.cdc.gov/infectioncontrol/guidelines/bsi/index.html
Goossens GA. (2015). Flushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit. Nursing Research and Practice. cited 2019 Sep 24]. Available from: https://dx.doi.org/10.1155/2015/985686
Kiertiburanakul S, Apivanich S, Muntajit T, Somsakul S, Malathum K. (2010). Epidemiology and risk factors of catheter-associated bloodstream infections among intensive care unit patients: an experience from a tertiary care hospital in Thailand. J Hosp Infect. 76(4):369-71.
Marschall J, Leone C, Jones M, Nihill D, Fraser VJ, Warren DK. (2007). Catheter-associated bloodstream infections in general medical patients outside the intensive care unit: a surveillance study. Infection Control & Hospital Epidemiology. 28:905–909.
Milutinović D, Simin D, Zec D. (2015). Risk factor for phlebitis: a questionnaire study of nurses’ perception. Rev. Latino-Am. Enfermagem. 23(4):677-84.
Patel A R, Patel A R, Singh S, Singh S, Khawaja I. (2019). Central Line Catheters and Associated Complications: A Review. Cureus 11(5): cited 2019 Sep 20]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650175/
Pirozzi N, Rejali N, Brennan M, Vohra A, McGinley T, Krishna M G. (2016). Sepsis: Epidemiology, Pathophysiology, Classification, Biomarkers and Management. J Emerg Med Trauma Surg Care. 3: 014.
Ray BR, Mohan VK, Kashyap L, Shende D, Darlong VM, Pandey RK. (2013). Internal jugular vein cannulation: A comparison of three techniques. J Anaesthesiol Clin Pharmacol. 29:367-71.
See I, Freifeld AG, Magill SS. (2016). Causative Organisms and Associated Antimicrobial Resistance in Healthcare-Associated, Central Line-Associated Bloodstream Infections From Oncology Settings, 2009-2012. Clin Infect Dis. 15;62(10):1203-9.
Stevens V, Geiger K, Concannon C, Nelson RE, Brown J, Dumyati G. (2014). Inpatient costs, mortality and 30-day re-admission in patients with central-line-associated bloodstream infections. Clinical Microbiology and Infection. 20(5): 318-324.
William Hanson. (2009). Procedures in Critical Care. New York, NY: The McGraw-Hill Companies.
Yimyam P, Sirikul S, Chantara P, Roungsri W, Authapornkusuth . et al. (2015). The Efficacy of 10% Povidone-Iodine Solution and 2% Chlorhexidine in Patients with Central Venous Catheter Inserted: A Systematic Review. Journal of Nursing and Health Care. 33(1): 145-153.
Published
2019-12-30
Section
Review article