Журнал включен в российские и международные библиотечные и реферативные базы данных
РИНЦ (Россия)
RINZ (RUSSIA)
Регистрационное агентство DOI (США)
DOI Registration Agency (USA)
Эко-Вектор (Россия)
Eco-Vector (Russia)
Ulrichsweb (Ulrich’s Periodicals Director

Central venous catheters: care and preventing complications principals of Health Care-Associated Infections

DOI: https://doi.org/ 10.29296/25879979-2022-01-06
Download full text PDF
Issue: 
1
Year: 
2022

Bikkulova D. S., Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology оf Ministry of Healthcare of the Russian Federation Pirogov Russian National Research Medical University

Rationale. Central venous catheters (CVC) are widely used to administer medications and solutions and to obtain blood samples in hospitalized patients. The use of CVC is associated with vascular complications, the most dangerous of which is catheter-associated bloodstream infection. The severity of complications of central venous catheters, risks to health and life of patients, and the cost of treatment for catheter-related bacteremia constitute a big problem for patients, medical and administrative staff of healthcare facilities. The prevention of catheter-related complications should be an important part of daily clinical practice; this process is to be managed and monitored by hospital administrative staff. The article is a literature review of modern recommendations with regulatory documents of the Russian Federation regarding CVC care and catheter-related complications prevention. The article describes the key aspects of CVC maintenance: the improvement of manual skills of medical personnel; ensuring the sterility, closed-hub catheter system and integrity of the venous catheter; catheter insertion site care rules to ensure its sterility; ways of maintaining the patency of the inner lumen of the catheter using the rules of bolus insertion, catheter flushing and catheter locking. The epidemiological safety of medical personnel allowed to work with the CVC and the criteria for infection control over all processes are of great importance..
Keywords: 
central venous catheter
catheter-associated bloodstream infection
prevention of catheter-related complications
vessel health and preservation

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Bikkulova D.Sh., Kulabuhov V.V. Venoznyj dostup. Metodicheskie rukovodstva MZ RF MR105, 2019 g., 82 s. http://cr.rosminzdrav.ru/#!/manuals/adults. MR105 Venoznyj dostup Bikkulova D.Sh., Kulabukhov V.V., Venous Access. Russian Methodical Recommendations MR105, 2019, 82 p.
  2. Infusion Therapy Stantards of Practice, 8th Edition J Infus Nurs 2021 Jan-Feb 01;44 (1S Suppl 1):S1-S224. doi: 10.1097/NAN.0000000000000396 www.ins1.org
  3. O’Grady N.P., Alexander M., Burns L.A., Dellinger E.P., Garland J., Heard S.O., Lipsett P.A., Masur H., Mermel L.A., Pearson M.L., Raad I.I., Randolph A.G., Rupp M.E., Saint S. and the Healthcare Infection Control Practices Advisory Committee (HICPAC) Guidelines for the Prevention of Intravascular Catheter-Related Infections, CDC. 2011 May 1; 52(9): e162–e193.
  4. Pittiruti M., Hamilton H., Biffi R., et al. ESPEN Guidelines on Parenteral Nutrition: Central Venous Catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 2009;28(4):365–77.DOI: 10.1016/j.clnu.2009.03.015
  5. Debourdeau P., Kassab Chahmi D., Le Gal G., et al. 2008 SOR guidelines for the prevention and treatment of thrombosis associated with central venous catheters in patients with cancer: Report from the working group. Ann Oncol. 2009;20(9):1459–1. DOI:10.1093/annonc/mdp052.
  6. Briko N.I., Bikkulova D.Sh., Brusina E.B., Ershova O.N., Zhivotneva I.V., Zabolotskij D.V., Ivanova O.A., Kvashnina D.V., Kovalishena O.V., Kuz'kov V.V., Kulabuhov V.V., Pivkina A.I., Suranova T.G. Profilaktika kateter-assotsiirovannyh infektsij krovotoka i uhod za tsentral'nym venoznym kateterom (TsVK). //Federal'nye Klinicheskie rekomendatsii. Izd-vo «Remedium Privolzh'e», 2017; 44 S. Briko N.I., Bikkulova D.Sh., Brusina E.B., Ershova O.N., Zhivotneva I.V., Zabolotskiy D.V., Ivanova O.A., Kvashnina D.V. Kovalishena O.V., Kuzkov V.V., Kulabukhov V.V., Pivkina A.I., Suranova T.G. Catheter Associated Bloodstream Infection Prevention and Central Line Care and Maintenance // Federal Clinical Recommendations. «Remedium Privolhzye», 2017; 44 p.
  7. National Healthcare Safety Network (NHSN) Patient Safety Component Manual Chapter 4: Bloodstream Infection (Central Line-Associated Bloodstream Infection and Non-Central Line Associated Bloodstream Infection) // CDC Device-association Modul BSI, January 2022, p. 37-85. https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf
  8. Bloodstream Infection (Central Line-Associated Bloodstream Infection and Non-Central Line Associated Bloodstream Infection) // CDC Device-association Modul BSI. NHSN, January 2021, r. 4-3.
  9. Blot St. Economic Impact of Catheter-Related Bloodstream Infection. General Internal Medicine & Infections Diseases Ghent University Hospital, Belgium, 2009.
  10. Barsuk J.H., Cohen E.R., Feinglass J., McGaghie W.C., Wayne D.B. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009 Aug 10;169(15): 1420-1423.
  11. International Nosocomial Infection Control Consortium (INICC) Care Bundles to Prevent Central and Peripheral Line-Related Blood-Stream Infections, INICC, 2017, 49 p. http://www.inicc.org/media/docs/2017-INICCBSIPreventionGuidelines.pdf
  12. Rumjantsev A.G., Maschan A.A., Bikkulova D.Sh. Federal'nye klinicheskie rekomendatsii po organizatsii optimal'nogo venoznogo dostupa u detej s gematologicheskimi, onkologicheskimi i immunologicheskimi zabolevanijami. Ofitsial'noe izdanie. NODGO. Moskva 2015. 20 S. Rumyantsev A.G., Maschan A.A., Bikkulova D.Sh. Federal Clinical Recommendations dedicated to organization of optimal venous access in children with haematological, oncological and immunological diseases. Official edition. NODGO. Moscow 2015, 20 p.
  13. Sanitarno-epidemiologicheskie pravila i normativy SanPiN 2.1.3.2630-10 «Sanitarno-epidemiologicheskie trebovanija k organizatsijam, osuschestvljajuschim meditsinskuju dejatel'nost'» ot 18 maja 2010 g. Health and Hygiene Rules and Standards SanPiN 2.1.3.2630-10 “Health and hygiene demands to organizations providing medical care” May 18th 2010.
  14. Guidelines HIV Prevention, diagnosis, treatment and care for key populations. // WHO. July 2014. 184 p.
  15. Natsional'nyj standart Rossijskoj Federatsii GOST R 52623.3-2015, «Tehnologii vypolnenija prostyh meditsinskih uslug. Manipuljatsii sestrinskogo uhoda» (p. 12 Tehnologija vypolnenija prostoj meditsinskoj uslugi «Uhod za sosudistym kateterom»). Russian Federation National Standard GOST R 52623.3-2015, «Technology of delivering simple medical services. Nurses care manipulations» (item 12 Technology of delivering simple medical service «Vascular catheter care».
  16. Prikaz MZ №203n «Ob utverzhdenii kriteriev otsenki kachestva meditsinskoj pomoschi» Zaregistrirovano v Minjuste Rossii 17 maja 2017 g. № 46740 ot 10 maja 2017 goda. Order of the Ministry of Health of the Russian Federation #203n «About confirmation of quality evaluation criteria of medical care» Registered in Ministry of Justice of the Russian Federation in May 17th 2017 # 46740 May 10th 2017.
  17. «Natsional'naja kontseptsija profilaktiki infektsij, svjazannyh s okazaniem meditsinskoj pomoschi» (utv. Glavnym gosudarstvennym sanitarnym vrachom RF 06.11.2011). “National Concept of Infection Prevention Related to Providing Medical Care” (approved by the Main Russian State Public Health Physician November 6th 2011).
  18. Akimkin V.G., Tutel'jan A.V., Orlova O.A., Golubkova A.A., Kvasova O.A., Sycheva N.V., Skachkova T.S. Infektsii, svjazannye s okazaniem meditsinskoj pomoschi (ISMP) // Informatsionnyj bjulleten' za 2018 g. FBUN TsNII Epidemiologii Rospotrebnadzora, Moskva – 2019. Akimkin V.G., Tutelyan A.V., Orlova O.A., Golubkova A.A., Kvasova O.A., Sycheva N.V., Skachkova T.S. Healthcare-associated infections (HAI) // Informational Newsletter 2018 FBUN Central Research Institute of Epidemiology of Rospotrebnadzor, Moscow – 2019.
  19. Khouli H., Jahnes K., Shapiro J., Rose K., Mathew J., Gohil A., Han Q., Sotelo A., Jones J., Aqeel A., Eden E., Fried E. Performance of medical residents in sterile techniques during central vein catheterization: Randomized trial of efficacy of simulation-based training. Chest. 2011 Jan;139(1):80–87. Epub 2010 Aug 12.
  20. Pan M. et al. Nursing Interventions to Reduce Peripherally Inserted Central Catheter Occlusion for Cancer Patients: A Systematic Review of Literature Cancer Nurs. 2019;42(6): E49-E58.
  21. Wood D., Bowe-Geddes L.A. A comparative retrospective analysis of two securement techniques for peripherally inserted central line catheters and midlines in the homecare settings. Vasc Access Devices. 1997; 2: 11-16
  22. Yamamoto A.J. et al. Sutureless Securement Device Reduces Complications of Peripherally Inserted Central Venous Catheters. J Vasc Interv Radiol. 2002 Jan 13(1):77-81
  23. Gérard Guiffant, Jean Jacques Durussel, Jacques Merckx, Patrice Flaud, Jean pierre Vigier, Patrice Mousset Flushing of intravascular access devices (IVADs) – Efficacy of pulsed and continuous infusions //the Jornal of Vascular Access 2012; 13(1): 75 – 78.
  24. Organizatsionno-metodicheskie osnovy zaschity meditsinskih rabotnikov, imejuschih kontakt s infektsionnymi agentami, ot zarazhenija infektsijami. – M., 2005. Organizational and methodical basis of infection protection of health care workers contacting with infection agents. – Moscow, 2005.