New guidance aims to reduce bloodstream infections from catheter use

May 15, 2024
Poor practices in the insertion, maintenance, and removal of these catheters carry a high risk of introducing germs directly to the bloodstream.

The World Health Organization (WHO) published global guidelines to prevent the occurrence of bloodstream and other infections caused by use of catheters placed in minor blood vessels during medical procedures.

Up to 70% of all inpatients require the use of a catheter inserted into a peripheral vein or artery, also known as peripherally inserted catheters (PIVCs), at some point during their hospital stay.  People who receive treatments through catheters often are particularly vulnerable to infections, as they might be seriously ill or have low immunity.  WHO estimated that between 2000–2018, average mortality among patients affected by healthcare-associated sepsis was 24.4%, increasing to 52.3% among patients treated in intensive care units.

Many bloodstream infections are caused by antibiotic resistant bacterial infections. It is estimated that bacterial antimicrobial resistance (AMR) was directly responsible for at least 1.27 million deaths and contributed to an additional 4.95 million deaths in 2019.

Developing and implementing guidance to prevent the spread of such infections has been a key priority for WHO. The new guidelines include 14 good practice statements and 23 recommendations on key areas for health workers, including:

·        education and training of health workers

·        techniques of asepsis and hand hygiene practices

·        insertion, maintenance, access, removal of catheters, and

·        catheter selection

WHO release

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