Tag Archives: Catheters

Prevention of central line and catheter associated bloodstream infections.

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Gilbert, R., Mok, Q., Dwan, K., Harron, T., Moitt, M., Millar, P., . . . Gamble. (n.d.). Impregnated central venous catheters for prevention of bloodstream infection in children (the CATCH trial): A randomised controlled trial. The Lancet., 387(10029), 1732-1742.

Catheter impregnation, coating or bonding for reducing central venous catheter-related infections in adults. (n.d.). The Cochrane Database of Systematic Reviews., 3, The Cochrane database of systematic reviews. , 2016, Vol.3.

Hugill, K. (n.d.). Preventing bloodstream infection in IV therapy. Br J Nurs, 26(14), S4-S10.

Nuckols, T., Keeler, E., Morton, S., Anderson, L., Doyle, B., Booth, M., . . . Shekelle, P. (2016). Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systematic Review. JAMA Internal Medicine, 176(12), 1843-1854.

Jeanes, A., & Bitmead, J. (n.d.). Reducing bloodstream infection with a chlorhexidine gel IV dressing. Br J Nurs, 24(19), S14-S19.

Marang-van de Mheen, P., & Van Bodegom-Vos, L. (n.d.). Meta-analysis of the central line bundle for preventing catheter-related infections: A case study in appraising the evidence in quality improvement. BMJ Quality & Safety., 25(2), 118-129.

Cho, Sun Young, Chung, Doo Ryeon, Ryu, Jae Geum, Choi, Jong Rim, Ahn, Nayeon, Kim, Seonwoo, . . . Song, Jae-Hoon. (n.d.). Impact of Targeted Interventions on Trends in Central Line-Associated Bloodstream Infection: A Single-Center Experience From the Republic of Korea. Critical Care Medicine., 45(6), E552-E558.

Ista, E., Van der Hoven, B., Kornelisse, R., Van der Starre, C., Vos, M., Boersma, E., & Helder, O. (n.d.). Effectiveness of insertion and maintenance bundles to prevent central-line-associated bloodstream infections in critically ill patients of all ages: A systematic review and meta-analysis. The Lancet Infectious Diseases., 16(6), 724-734.

Having more than one person work together to insert an urinary catheter

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Relevant systematic reviews and guidelines do not mention having more than one person insert an urinary catheter.

Following are citations and links to full text for three items in which two people worked together to insert catheters:

Galiczewski JM, Shurpin KM. An intervention to improve the catheter associated urinary tract infection rate in a medical intensive care unit: Direct observation of catheter insertion procedure. Intensive Crit Care Nurs. 2017 Jun;40:26-34. doi: 10.1016/j.iccn.2016.12.003. Epub 2017 Feb 22. Excerpt: “CAUTI rates decreased from 2.24 to 0 per 1000 catheter days.” Three comments are available on this article. To view them, go here, and then copy and paste this url into the browser so that the Find it & Emory button will be available: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/58794408/public/.

Fletcher-Gutowski S, Cecil J. Is 2-person urinary catheter insertion effective in reducing CAUTI? Am J Infect Control. 2019 Jul 16. pii: S0196-6553(19)30575-9. doi: 10.1016/j.ajic.2019.05.014. [Epub ahead of print]. Excerpt: “The results of this study indicate implementation of the 2-person urinary catheter insertion protocol with a checklist decreased the risk of CAUTI for our patient population.”

Breiter Y et al. 9-186 – Catheter-associated urinary tract infection reduction in the emergency department as a result of dual personnel urinary catheter insertion. American Journal of Infection Control. 2016;44:6(S88-S89). (this is only an abstract; 201 patients underwent dual personnel urinary catheter insertion; none developed a CAUTI)

Heudorf U. Grünewald M, Otto U. Implementation of the updated 2015 Commission for Hospital Hygiene and Infection Prevention (KRINKO) recommendations “Prevention and control of catheter-associated urinary tract infections” in the hospitals in Frankfurt/Main, Germany. GMS Hyg Infect Control. 2016 Jun 30;11:Doc14. doi: 10.3205/dgkh000274. eCollection 2016. Excerpt: “demonstrations were always performed by two persons (the second to hand the sterile materials to the first).”

Updated 8/23/2019 ldt