Peripheral intravascular catheters |
Lower extremities more than upper extremities |
Wrist more than hand |
Placement longer than three to four days |
Polyvinyl chloride and polyethylene more than Teflon |
Arterial catheters |
Colonization at catheter site |
Catheterization longer than four to six days |
Pulmonary artery catheters |
Catheterization longer than three to five days |
Colonization of skin at insertion site |
Catheter insertion using submaximal barrier precautions |
Internal jugular more than subclavian |
Regular protective plastic sleeves more than shield sleeves |
Central venous catheters |
Internal jugular more than subclavian |
Repeated catheterization |
Presence of septic focus elsewhere |
Nontunneled more than tunneled |
Tunneled more than totally implantable device |
Catheter insertion using submaximal barrier precautions |
Lower risk with silver-chelated collagen cuff |
Lower risk with antibiotic or antiseptic impregnated short-term catheters |
Catheter-care factors |
Insertion circumstance: Emergency more than elective |
Skill of the inserter: General more than specialized |
Skin under dressing: Moist greater than dry |
Cutaneous antiseptics: 70% alcohol and 10% povidone iodine more |
Antibiotic-lock solutions: Lower risk in neutropenic patients with long-term catheters |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟