The case for using a disinfecting cap for needlefree connectors

Br J Nurs. 2019 Jul 25;28(14):S22-S27. doi: 10.12968/bjon.2019.28.14.S22.

Abstract

Catheter-related bloodstream infections (CRBSIs) are a signification cause of infection. When CRBSI rates are high, the cost to the patient and the organisation can be significant. More than ever before, there is a high demand for vascular access. Advances in treatment often entail extended indwell times for central vascular access devices. The care and maintenance of these devices is crucial in avoiding complications such as infection. Using care bundles in conjunction with other simple interventions, such as passive disinfecting caps, can help reduce CRBSI rates. The published evidence demonstrates that passive disinfecting caps can help reduce infection rates associated with different types of central venous catheters by protecting needlefree connectors from colonisation by pathogens and serving as a clear indicator that the line has been disinfected.

Keywords: Catheter-related bloodstream infection; Needlefree connectors; Passive disinfecting caps; Scrub the hub.

MeSH terms

  • Catheter-Related Infections / prevention & control*
  • Catheterization, Central Venous / adverse effects
  • Catheterization, Central Venous / instrumentation*
  • Central Venous Catheters* / adverse effects
  • Disinfection / methods*
  • Equipment Design
  • Humans