Prevention of Central-Line Associated Bloodstream Infections: 2021 Update

Infect Dis Clin North Am. 2021 Dec;35(4):841-856. doi: 10.1016/j.idc.2021.07.004.

Abstract

Despite a large volume of research in prevention, central line-associated bloodstream infections and catheter-related bloodstream infections continue to cause significant morbidity, mortality, and increased health care costs. Strategies in prevention, including decision about catheter placement, insertion bundles, adherence to standard of care guidelines, and technologic innovations, shown to decrease rates of catheter-related bloodstream infections and central line-associated bloodstream infections are described in this update. The coronavirus disease 2019 pandemic has resulted in increased health care-acquired infections, including central line-associated bloodstream infections.

Keywords: Bacteremia; Bloodstream infection; Intravascular catheter; Prevention.

Publication types

  • Review

MeSH terms

  • Bacteremia / epidemiology
  • Bacteremia / etiology
  • Bacteremia / prevention & control*
  • COVID-19 / epidemiology
  • Catheter-Related Infections / epidemiology
  • Catheter-Related Infections / etiology
  • Catheter-Related Infections / prevention & control*
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / standards
  • Clinical Decision-Making
  • Cross Infection / epidemiology
  • Cross Infection / etiology
  • Humans
  • Patient Care Bundles / standards
  • Practice Guidelines as Topic
  • SARS-CoV-2