Course Access
Tim
Thats an interesting development from the CDC whereby they are now recommending the use of CHG-impregnated dressing (FDA-cleared) for short-term, non-tunnelled CVCs. Its an upgrade from their previous recommendation where those dressings were only recommended when the institutional CVC-related BSI rate was high.
I am curious at and when other US organisation like SHEA, APIC and INS will revise their positions.
Hopefully in the current review of the Australian NHMRC IC Guidelines the committee responsible for the review will follow this update.
As you know in Australia it is difficult to get a true sense of prospective CVC-related or even short term peripheral IV-related BSI given that the data is not available in the public domain. S. aureus BSI is sometimes used as a proxy measure however given the increasing pay for performance adoption in Australia I suspect Australian hospitals will now be looking for every additional measure to reduce CLABSI and vascular device-related BSI.
The estimated rates that any point prevalence survey will deduce will be difficult to validate and generalize especially when the sample size of next years national point prevalence surveys which will be collected from 20 public hospitals classified as either Principal Referral or Group A hospitals will be a gross underestimation of the true extent of the CLABSI burden.
Its such an important aspect of our work and that of the AVAS group I hope we can continue to respond appropriately to the problem. Part of that response should be careful consideration of new technologies and approaches to care.
Yours sincerely
Cath
Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, Australia
E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Monday, 13 November 2017 16:52
To: AICALIST@AICALIST.ORG.AU
Subject: Updated Recommendations on the Use of Chlorhexidine-Impregnated Dressings for Prevention of Intravascular Catheter-Related Infections
Hi All,
Here is an updated recommendation from the CDC on the use of CHG-Impregnated Dressings for Prevention of Intravascular Catheter-Related Infections.
https://www.cdc.gov/infectioncontrol/guidelines/pdf/guidelines/c-i-dressings.pdf
Timothy R. Spencer, DipAppSc, BHSc, ICCert, RN, APRN, VA-BC
Global Vascular Access, LLC
M: +1 (623) 326 8889 (USA)
M: +61 409 463 428 (AU)
http://www.vascularaccess.com.au
http://orcid.org/0000-0002-3128-2034
Sent from my iPhone
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