Which of the following procedures is most likely to decrease the rate of catheter-related bloodstream infection (CRBSI) associated with central venous catheters?
Health care-associated infections (HAIs), previously known as nosocomial infections, increase inpatient morbidity and mortality in addition to significantly increasing health care costs.
CRBSIs are important sources of HAI that may be significantly reduced. CRBSIs typically occur as a result of biofilm formation on the catheter. Bacteria commonly cultured from CRBSIs include Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, and various Klebsiella and Proteus species.
Recently published catheter placement and maintenance routines have resulted in significant reductions in the rate of CRBSI. These routines typically include:
These recommendations have become an important part of infection-control practices in many hospitals and have been adopted as recommended practices by the Institute for Healthcare Improvement.
Application of povidone-iodine ointment at the insertion site is no longer recommended.
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