Central venous catheter insertion: Review of recent evidence

Best Pract Res Clin Anaesthesiol. 2021 May;35(1):135-140. doi: 10.1016/j.bpa.2020.12.009. Epub 2020 Dec 10.

Abstract

Guidelines for prevention of catheter-related bloodstream infection (CR-BSI) describe a series of recommendations for correct insertion and handling of central venous catheters (CVCs). Since their implementation, quality programs such as "Zero bacteremia" have achieved a reduction in CR-BSI rates, but there is still room for further improvement. New evidence is emerging regarding, e.g., antiseptic-antimicrobial impregnated catheters or the use of passive disinfection of closed connectors. These examples of new tools among others might help to further decrease infection rates. This article aims to review new evidence-based strategies to reduce catheter insertion-related infection.

Keywords: Catheter-related infection; OR hygiene; hand hygiene; patient safety.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents, Local / administration & dosage
  • Bacteremia / diagnostic imaging
  • Bacteremia / etiology
  • Bacteremia / prevention & control
  • Catheter-Related Infections / diagnostic imaging
  • Catheter-Related Infections / etiology
  • Catheter-Related Infections / prevention & control*
  • Catheterization, Central Venous / methods*
  • Catheterization, Central Venous / standards
  • Central Venous Catheters* / microbiology
  • Central Venous Catheters* / standards
  • Evidence-Based Medicine / methods*
  • Evidence-Based Medicine / standards
  • Humans
  • Ultrasonography, Interventional / methods*
  • Ultrasonography, Interventional / standards

Substances

  • Anti-Infective Agents
  • Anti-Infective Agents, Local