News
ICViewExpert PerspectivesMedical World NewsPathogen PlaybookVideosWebinars
Conference CoverageConference ListingAPIC Chapters
Infection Control TodaySupplements And Featured Publications
CME/CEEditorial Advisory BoardJob BoardPartnersSponsoredWhitepapers
Subscribe
Educator of the Year Official Rules2024 Educator of the Year Winner2023 Educator of the Year WinnerEducator of the Year
Advanced TechnologyAdvanced TechnologyAdvanced Technology
Bug of the Month
COVID-19
Environmental ServicesEnvironmental Services
HAIs
Hand Hygiene
IC Trends
Long-Term CareLong-Term Care
Operating Room
Personal Protective EquipmentPersonal Protective Equipment
Policy
PreventionPreventionPreventionPrevention
Sterile ProcessingSterile Processing
Surface Disinfection
Vascular Access
Spotlight -
  • IC Trends
  • Bug of the Month
  • Featured Articles
  • Featured Columns
  • Pathogen Playbook
Advanced TechnologyAdvanced TechnologyAdvanced Technology
Bug of the Month
COVID-19
Environmental ServicesEnvironmental Services
HAIs
Hand Hygiene
IC Trends
Long-Term CareLong-Term Care
Operating Room
Personal Protective EquipmentPersonal Protective Equipment
Policy
PreventionPreventionPreventionPrevention
Sterile ProcessingSterile Processing
Surface Disinfection
Vascular Access
    • News
    • Subscribe
Advertisement

Use of Antibacterial Linked With Reduced Risk of Catheter-Related Infections

March 24, 2009
Article

For critically ill patients in intensive care units, use of a sponge containing the antimicrobial agent chlorhexidine gluconate as part of the dressing for catheters reduced the risk of major catheter-related infections, according to a study in the March 25 issue of JAMA. The researchers also found that reducing the frequency of changing unsoiled dressings from every three days to seven days appears to be safe.

Patients admitted to the intensive care unit (ICU) usually require insertion of central venous catheters (CVCs). In the United States, approximately 80,000 CVC-related bloodstream infections are estimated to occur each year in ICU patients. The rate of death from CVC-related bloodstream infections ranges from 0 percent to 11.5 percent, and the additional ICU length of stay resulting from these infections is estimated at nine to 12 days. “Consequently, efforts are required to decrease the incidence of these infections,” the authors write.

Most organisms responsible for CVC-related bloodstream infections originate from the insertion sites of short-term CVCs. Use of a chlorhexidine gluconate-impregnated sponge (CHGIS) as part of the dressing over the skin at the site of insertion of the intravascular catheter may reduce catheter-related infections (CRIs). It is also not certain whether changing catheter dressings every three days may be more frequent than necessary, according to background information in the article.

Jean-François Timsit, MD, PhD, of University Joseph Fourier, Albert Bonniot Institute, Grenoble, France, and colleagues evaluated the effects of using CHGIS dressings and increasing the time between dressing changes in adult ICU patients. The randomized controlled trial included 1,636 patients from seven intensive care units in three university and two general hospitals in France, who were expected to require an arterial catheter, central-vein catheter, or both, inserted for 48 hours or longer. The median (midpoint) duration of catheter insertion was six days. A chlorhexidine gluconate–impregnated sponge or standard dressing (control) was used for the patients. The scheduled change of unsoiled adherent dressings was every three or seven days, with immediate change of any soiled or leaking dressings.

Use of CHGIS dressings decreased the rates of major CRIs (catheter-related clinical sepsis without bloodstream infection or catheter-related bloodstream infection) by 61 percent (10/1,953 [0.5 percent] vs. 19/1,825 [1.1 percent]). Use of CHGIS dressings was estimated to prevent 1 major CRI for every 117 catheters left in place for an average duration of 10 days.

Severe CHGIS-associated contact dermatitis occurred in eight patients (5.3 per 1,000 catheters).

The rate of catheter colonization (the presence of bacteria on the catheter at the time of removal) was 7.8 percent in the three-day group and 8.6 percent in the 7-day group, an average absolute difference of 0.8 percent. The median number of dressing changes per catheter was four in the three-day group and three in the seven-day group.

“... the interval between dressing changes can be safely extended to more than 3 days but not exceeding 7 days, provided the dressings are closely monitored and changed immediately should separation or soiling be detected,” the authors write.

In an accompanying editorial, “Preventing Catheter-Related Bloodstream Infections - Thinking Outside the Checklist,” Eli N. Perencevich, MD, MS, of the University of Maryland Medical Center and School of Medicine and VA Maryland Health Care System, Baltimore, and Didier Pittet, MD, MS, of the University of Geneva Hospitals and Faculty of Medicine and World Health Organization, Geneva, Switzerland, comment on the findings of Timsit and colleagues: “Achieving the lowest possible rates of healthcare-associated infection is the ultimate goal, whether through mandate or individual hospital initiative. Even though the rates of catheter-related bloodstream infections have clearly declined during the past decade, efforts beyond the checklist are needed. Current guidelines suggest that the low rates achievable through optimized insertion practices and adherence to checklists might be sufficient. The study by Timsit et al., has the potential to change the current clinical approach, given that rates of catheter-related bloodstream infection were driven even lower through the relatively simple use of a CHGIS dressing. Future advances in infection prevention will require similar investments in government-sponsored, high-quality randomized controlled trials.”

References: JAMA. 2009;301[12]:1231-1241;  JAMA. 2009;301[12]:1285-1287.

Source: American Medical Association    

Newsletter

Stay prepared and protected with Infection Control Today's newsletter, delivering essential updates, best practices, and expert insights for infection preventionists.

Subscribe Now!
Recent Videos
Hospital recovery patient single room   (Adobe Stock 253433239 by Mongkolchon)
Infection Control Today's Bug of the Month
Jordan Bastian, MPH, CIC, at APIC25
Related Content

Workshop at Medical Institution with Participants  (Adobe Stock 786568115 by spyrakot)

Infection Prevention in Behavioral Health: Critical Strategies for a Safer Care Environment

Katharine J. Hoffman, MPH, CIC;Maddison Mickle, MPH, CIC, LSSGB
August 15th 2025
Article

The Clean Bite

The Clean Bite: Real Talk About Infection Control — From the Classroom to the Operatory

Sherrie Busby, EDDA, CDSO, CDIPC
August 15th 2025
Article

Operating room, surgical site infections   (Adobe Stock, Unknown)

The Next Frontier in Infection Control: AI-Driven Operating Rooms

Tori Whitacre Martonicz
August 15th 2025
Article

Weekly Rounds with Infection Control Today

Weekly Rounds: Stretcher Contamination, Lumens 2.0, and More

August 15th 2025
Article

Washing hands at a sink  (Adobe Stock 1298928756)

A Helping Hand: Innovative Approaches to Expanding Hand Hygiene Programs in Acute Care Settings

Kerri Simone, MPH, CIC;Alexander O’Flaherty Linehan ;Will Zacamy
August 15th 2025
Article

Hot Topics With Saskia v. Popescu, PhD, MPH, MA, CIC, FAPIC

Hot Topics for IPC on July 2, 2025

Saskia v. Popescu, PhD, MPH, MA, CIC, FAPIC
August 15th 2025
Article
Related Content

Workshop at Medical Institution with Participants  (Adobe Stock 786568115 by spyrakot)

Infection Prevention in Behavioral Health: Critical Strategies for a Safer Care Environment

Katharine J. Hoffman, MPH, CIC;Maddison Mickle, MPH, CIC, LSSGB
August 15th 2025
Article

The Clean Bite

The Clean Bite: Real Talk About Infection Control — From the Classroom to the Operatory

Sherrie Busby, EDDA, CDSO, CDIPC
August 15th 2025
Article

Operating room, surgical site infections   (Adobe Stock, Unknown)

The Next Frontier in Infection Control: AI-Driven Operating Rooms

Tori Whitacre Martonicz
August 15th 2025
Article

Weekly Rounds with Infection Control Today

Weekly Rounds: Stretcher Contamination, Lumens 2.0, and More

August 15th 2025
Article

Washing hands at a sink  (Adobe Stock 1298928756)

A Helping Hand: Innovative Approaches to Expanding Hand Hygiene Programs in Acute Care Settings

Kerri Simone, MPH, CIC;Alexander O’Flaherty Linehan ;Will Zacamy
August 15th 2025
Article

Hot Topics With Saskia v. Popescu, PhD, MPH, MA, CIC, FAPIC

Hot Topics for IPC on July 2, 2025

Saskia v. Popescu, PhD, MPH, MA, CIC, FAPIC
August 15th 2025
Article
Advertise
About Us
Editorial Board
Contact Us
Job Board
Terms and Conditions
Privacy
Do Not Sell My Personal Information
Contact Info

2 Commerce Drive
Cranbury, NJ 08512

609-716-7777

© 2025 MJH Life Sciences

All rights reserved.
Home
About Us
News