[Table of Contents]

Canada Communicable Disease Report - Supplement
Volume: 23S8
December 1997

INFECTION CONTROL GUIDELINES

Preventing Infections Associated with Indwelling Intravascular Access Devices

Introductory Statement

Table of Contents

List of Participants

Introduction

1. Scope of this Guideline Document
2. Overview of Infections Associated with Intravascular Access Devices
3. Definitions Recommended for Intravascular Device-Associated Infections

1. Local infection
2. Tunnel or pocket infection
3. Intravascular device-related bacteremia
4. Catheter colonization

4. Summary of Novel Concepts in this Document

1. Strength of available evidence
2. Benchmarking and surveillance as management tools
3. New developments and controversies

Quality Assurance and Improvement

• RECOMMENDATIONS
• Program Organization

Selection of Intravascular Access Devices

• RECOMMENDATIONS
• Indications for Use of Intravascular Devices
• Peripheral Venous Lines
• Arterial Lines
• Central Venous Lines (including peripherally inserted central catheters [PICC], central hemodialysis lines and central pulmonary arterial catheters) and Midline Catheters

Insertion Site Selection and Preparation

• RECOMMENDATIONS
• All Lines
• Peripheral Venous Lines
• Arterial Lines
• Central Venous Lines (including PICC, central hemodialysis lines and central pulmonary arterial catheters) and Midline Catheters

Insertion Site Care, Including Dressing and Site Change Intervals

• RECOMMENDATIONS
• All Lines
• Peripheral Venous Lines
• Arterial Lines
• Central Venous Lines (including PICC, central hemodialysis lines and central pulmonary arterial catheters) and Midline Catheters
• Totally Implantable Devices
• Umbilical Lines

Care of Intravascular Therapy System Components

• RECOMMENDATIONS
• Administration Sets and Delivery Systems
• Hubs, Stopcocks and Other Connectors
• Filters
• Pressure Transducers
• Admixture of Solutions
• Other Sources of Contamination

Intravascular Device-Associated Infection

• RECOMMENDATIONS

Bibliography

APPENDIX I Guideline Rating System

APPENDIX II Definitions of Intravascular Device-Associated Infections

APPENDIX III Glossary of Terms

APPENDIX IV Calculating Infection Rates

Division of Nosocomial and Occupational Infections
Bureau of Infectious Diseases
Laboratory Centre for Disease Control
Health Protection Branch
Health Canada
Ottawa, Ontario
K1A 0L2

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