Survey of antiseptic technique used for arterial catheter insertion

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“Use of barrier precautions for arterial catheter insertion was inconsistent in the cohort surveyed. Less than half of physicians surveyed were in compliance with CDC guidelines.” Cohen et al (2014).

Reference:

Cohen, D., Levinson, A., Mazer, J., Lueckel, S., Carino, G. and Mermel, L. (2014) Insertion and Use of Arterial Catheters: A Survey of Clinician Antiseptic Technique. Rhode Island Medical Journal. 97(8), p.24-27.

Abstract:

Rationale: Recent studies have shown that the incidence of bloodstream infections (BSIs) associated with arterial catheters (ACs) is comparable to that of central venous catheters (CVCs). In 2011, the CDC published guidelines recommending the use of limited barrier precautions during AC insertion. The goal of this study was to assess the attitudes and current antiseptic techniques employed by physicians who place arterial catheters in intensive care units.

Methods: An anonymous, web-based survey was sent to critical care physicians from multiple specialties at six teaching hospitals in Rhode Island.

Results: Survey response rate was 33% (27/83). Only 44% of participants reported using CDC-recommended barrier precautions during AC insertion, and only 15% reported using full barrier precautions.

Conclusions: Use of barrier precautions for arterial catheter insertion was inconsistent in the cohort surveyed. Less than half of physicians surveyed were in compliance with CDC guidelines. Further studies are warranted to determine the optimal preventive strategies for reducing BSIs associated with ACs.

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