April 24, 2011

Summary of Recommendations: Guidelines for the Prevention of Intravascular Catheter-related Infections

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Given the large number of central venous catheters placed by Nephrologists, this clinical practice guideline reviews preventative strategies to reduce infections.   Areas of focus include a) educating and training healthcare personnel who insert and maintain catheters; b) using maximal sterile barrier precautions during central venous catheter insertion; c) using a > 0.5% chlorhexidine skin preparation with alcohol for antisepsis; d) avoiding routine replacement of central venous catheters as a strategy to prevent infection; and e) using antiseptic/antibiotic impregnated short-term central venous catheters and chlorhexidine impregnated sponge dressings if the rate of infection is not decreasing despite adherence to other strategies.

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