APSIC guide for prevention of Central Line Associated Bloodstream Infections (CLABSI)

Transparent semipermeable dressings are preferred over gauze dressings as they allow continuous visual inspection of catheter sites. However, if the patient begins to sweat or bleeds after the CVC has been inserted, gauze dressing can be used.

Cover the catheter section with sterile gauze or sterile clear semipermeable bandage. (IA)

If the patient is perspiring, or if you are bleeding or bleeding, use gauze dressing until healing. (II)

Do not use local antibiotic ointment or cream at the site of insertion other than dialysis catheter as it may promote fungal infection and antibiotic resistance. (IB)

Do not soak the catheter or catheter part in water. If you can take precautions to reduce the possibility of water reaching the site of the catheter, you need to allow the shower (eg during showering the catheter and drug delivery connection and the hub are protected with a waterproof cover It has been). This is because the risk of organisms invading the insertion site increases. (IB)

Transparent dressings used for CVC sites are exchanged at least every 7 days except for pediatric patients where the risk of removing the catheter may exceed the benefit of exchanging dressings. (IB)

Transparent bandages used for tunnels or implanted CVC sites are less than once per week until the insertion site heals (unless the bandage is dirty or loose). (II)

Long term burring and tunneling There is no proposal for the necessity of any dressing at the well healed exit site of CVC. (UI)

If CLABSI infection rate is high and preventive bundle preventive measures including education and training are not observed, use chlorhexidine impregnated sponge dressing for the patient's central venous catheter for more than two months. (IB)

Patients are advised to report changes in the catheter site or employee's new discomfort. (II)

This document is a summary of the APSIC Prevention Center Line Related Blood Flow Infection Guidelines (CLABSI). It describes the implementation of caregiving component and its method of quality improvement based on key evidence for central insertion and maintenance package, ie interdisciplinary process and participant's planned behavior learning method (PDSA) approach. Always monitor improvements and provide timely feedback to stakeholders is an important element to ensure the success of best practices. Using the monitoring results of the monitoring program, comply with evidence-based centerline insertion and maintenance practice (compliance rate), identify quality improvement opportunities, and strategically address interventions to reduce CLABSI Is recommended.

Centerline is associated with related bloodstream infection or CLABSI and morbidity, increased mortality and medical expenses. Today, according to evidence-based guidelines, central venous catheter (CVC) insertion and maintenance, CLABSI mainly prevented and recognized. The purpose of this document is a concise form highlighting practical advice designed to support medical institutions in the CLABSI preventive implementation Asia-Pacific region. This document summarizes the CLABSI prevention guidelines of the Asia Pacific Association of Infection Management (APSIC) that we developed

Infectious complications on the center line called CLABSI (centerline-related bloodstream infection) occur frequently, and more than 30,000 cases are reported in emergency hospitals. The case of CLABSI can hardly be prevented through best practices of inserting centerlines and properly applying maintenance packages. Based on the CLABSI rate, the CAUTI rate and the PSI score reported to the NHAN (National Health Safety Network) in FY 2015, a hospital acquisition (HAC) reduction program under CMS management will reduce 1% to the poorest performing hospital, You will be penalized. . This makes the identification and reporting of CLABSI cases more important for medical systems. However, doing so usually requires extensive manual chart review based on complicated NHSN rules.