Reducing the Risk for Catheter-Related Infections: A New Strategy
Authors: Michele L. Pearson
Journal: Annals of Internal Medicine (1997)

Editorials15 August 1997Reducing the Risk for Catheter-Related Infections: A New StrategyMichele L. Pearson, MD and Elias Abrutyn, MDMichele L. Pearson, MDCenters for Disease Control and Prevention; Atlanta, GA 30333Allegheny University of the Health Sciences; Philadelphia, PA 19102Search for more papers by this author and Elias Abrutyn, MDCenters for Disease Control and Prevention; Atlanta, GA 30333Allegheny University of the Health Sciences; Philadelphia, PA 19102Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-4-199708150-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Intravascular catheters are integral to the practice of modern medicine. These devices are used to deliver life-sustaining fluids, such as antimicrobial agents, parenteral nutrition, and blood or blood products, and to monitor the hemodynamic status of critically ill patients. However, a potentially life-threatening complication-infection, particularly bloodstream infection-is associated with the use of intravascular catheters. Several types of catheters are available for clinical use, including short peripheral catheters, midline catheters, peripherally inserted central venous catheters, nontunneled central venous catheters used for the short term, and tunneled central venous catheters used for the long term (for example, Hickman and port catheters). The ...References1. Maki DG. Infections due to infusion therapy. In: Bennett JV, Brachman PS, eds. Hospital Infections. 3d ed. Boston: Little, Brown; 1992. Google Scholar2. Yeung C, May J, Hughes R. Infection rate for single-lumen v triple lumen subclavian catheters. 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Temporal trends in device-associated infection rates in intensive care units in the United States [Abstract]. The National Nosocomial Infection Surveillance System. Infect Control Hosp Epidemiol. 1997; 18(Part 2):50. Google Scholar20. Timsit JF, Sebille V, Farkas JC, Misset B, Martin JB, Chevret S, et al. Effect of subcutaneous tunneling on internal jugular catheter-related sepsis in critically ill patients: a prospective randomized multicenter study. JAMA. 1996; 276:1416-20. Google Scholar21. Mimoz O, Pieroni L, Lawrence C, Edouard A, Costa Y, Samii K, et al. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Crit Care Med. 1996; 24:1818-23. Google Scholar Author, Article, and Disclosure InformationAuthors: Michele L. Pearson, MD; Elias Abrutyn, MDAffiliations: Centers for Disease Control and Prevention; Atlanta, GA 30333Allegheny University of the Health Sciences; Philadelphia, PA 19102Corresponding Author: Michele L. Pearson, MD, Hospital Infections Program, Mailstop E-69, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333.Current Author Addresses: Dr. Pearson: Hospital Infections Program, Mailstop E-69, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPrevention of Central Venous Catheter-Related Bloodstream Infection by Use of an Antiseptic-Impregnated Catheter Dennis G. Maki , Susan M. Stolz , Susan Wheeler , and Leonard A. Mermel Central Venous Catheters Coated with Minocycline and Rifampin for the Prevention of Catheter-Related Colonization and Bloodstream Infections Issam Raad , Rabih Darouiche , Jacques Dupuis , Dima Abi-Said , Andrea Gabrielli , Ray Hachem , Matthew Wall , Richard Harris , James Jones , Antonio Buzaid , Claudia Robertson , Salwa Shenaq , Patrick Curling , Thomas Burke , and Charles Ericsson Catheter-Related Bacteremia and Outcome of Attempted Catheter Salvage in Patients Undergoing Hemodialysis Kieren A. Marr , Daniel J. Sexton , Peter J. Conlon , G. Ralph Corey , Steven J. Schwab , and Kathryn B. 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