Intravenous literature: Doherty, M. and Axelrod, P. (2011) Can a New Connector Reduce the Number of Central Line-Associated Bloodstream Infections (CLABSIs)? AJIC: American Journal of Infection Control. 39(5), p.E55.
Central venous catheters (CVCs) place patients at risk of developing central line-associated bloodstream infections (CLABSIs). In our hospital, we follow the Institute for Healthcare Improvement (IHI) insertion bundle, educate staff who insert and maintain catheters on best practice, and use a chlorhexidine gluconate (CHG) disk and a transparent dressing at all CVC insertion sites. Despite this, our CLABSI rates have been consistently above the National Healthcare Safety Network (NHSN) 50th percentile for similar hospitals. Silver coated connectors (SCC) have been promoted as a means of decreasing CLABSIs, but there have been no randomized clinical trials.The objective of this study was to determine if using SCC on all CVC lumens would reduce the rate of CLABSIs.