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Infection control and prevention
Pages 10 (2510 words)
Insertion of central venous catheters has become commonplace in the peri-operative and intensive care setting.Over the years,they have played a reliable role in patient care for haemodynamic management,patent intravenous access in patients suffering from chronic illnesses and administration of parenteral nutrition…
Insertion of central venous catheters (CVCs) has become commonplace in the peri-operative and intensive care setting. Over the years, they have played a reliable role in patient care for haemodynamic management, patent intravenous access in patients suffering from chronic illnesses and administration of parenteral nutrition and other chemotherapeutic agents. The three sites that are utilized for central venous catheter insertion are internal jugular, subclavian and femoral. Although, like any other medical intervention, these catheters have their own share of complications, it is the risk of infection, which has the most serious clinical and economic repercussions for the patient, physician and health care facility with high morbidity and mortality.One survey determined that central lines are associated with more than 40% of blood stream infections in England. Thus, it is imperative that strict infection control measures are enforced during the care of CVCs. Risk of infection in peri-operative setting would depend upon whether the CVC is kept in situ for a long time or it is removed post surgery. Otherwise, rest of the discussion about CRBSI is applicable to ICU as well as peri-operative setting. Definition and diagnosis of CRBSI Catheter related blood stream infection (CRBSI) is a type of hospital acquired infection which is clinically defined as fungemia or bacteremia in a patient with CVC in situ, as shown by positive blood culture from a peripheral vein, along with clinical signs of infection, but no other apparent source for positive blood culture. ...
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