There are a number of ways a patient can get a Central line associated bloodstream infection. Below are the 5 primary sources, with 20% of infections coming from other sources beyond these listed.
- This is the most common source of contamination as the patient's own flora (bacteria) can invade the insertion site and cause infection.
- Accounts for approximately 60% of infections.
- The best way to remove "transient" flora is through proper skin antisepsis, allowing the solution to completely dry prior to device insertion. Click here to learn more about PDI Prevantics® Antiseptics.
Contamination of catheter hub
- Accounts for approximately 12% of infections.
- These invasive lines serve as direct routes into the vascular system and have to be treated accordingly.
- The best way to prevent contamination is through
- Performing Hand Hygiene prior to accessing the device.
- Disinfecting needleless access sites prior to use and between each access. Click here to learn more about the PDI Prevantics® Device Swab.
- Very uncommon, accounts for only 1% of infections.
- Typically occurs during the manufacturing process.
- To help prevent contamination, clinicians need to handle products, such as IV fluids, aseptically and according to packaging instructions.
Contamination of device prior to insertion
- This is a common error when a sterile item such as the catheter is accidentally contaminated by the clinician.
- Contamination is typically due to lack of compliance to aseptic technique. It is rarely due to the manufacturing process.
- Handle supplies aseptically to help prevent contamination.
- Infections from another site, such as an infected foot, transfer organisms to the insertion site of a vascular access catheter and cause significant risk to the patient, such as sepsis.