Prevention of infection IVC University: Date: Introduction Bloodstream infections have a general mortality rate of between four and twenty percent. Actually, estimates have it that 500 - 4,000 US patients die of bloodstream infections annually. Nearly 90 of bloodstream infections occur with central line of administration…
These intravascular catheters usually terminate at or near the heart, or in one of the great vessels including vena cava among others (Cdc.gov, 2010). This paper looks into prevention of infection in Inferior Vena Cava (IVC). Before inserting catheters, the inserter and their assistant(s) should observe strict proper hand hygiene by washing hands either with alcohol-based hand rub or with conventional antiseptic-containing soap. They should also take maximal barrier precautions – use mask, head cover, sterile gloves and sterile gown. They should also drape the patient with the full body drape and maintain a sterile environment during the insertion. The inserter should perform a back-and-forth friction scrub on the site skin using chlorhexidine skin preparation, and then ensure that the solution dries utterly before attempting central line insertion. The drying time varies with the site of insertion. If possible, use antimicrobial-impregnated catheters. After initial insertion, they should apply occlusive sterile dressing per policy. Unless in emergencies, they should not perform any fluids/medications administration through the line prior to verifying the catheter tip placement. Most importantly, one should never connect previously used administration sets and fluids to central venous access lines (WHO, 2005). ...
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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
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According to the study central venous catheters normally disrupt skin integrity thereby allowing pathogens to enter, and the infection may spread to the bloodstream (bacteremia) ensuing organ dysfunction and hemodynamic changes. This paper looks into prevention of infection in Inferior Vena Cava (IVC).