viernes, 8 de marzo de 2019

Strategies to Prevent S. aureus BSIs in Acute Care Facilities | CDC

Strategies to Prevent S. aureus BSIs in Acute Care Facilities | CDC

Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People

Table 1: Summary of Source Control Strategies by Central Venous Catheter (CVC) or Midline Catheter Presence and Unit Type 
Patient TypeIntensive Care Unitnon-Intensive Care Unit
CVC or Midline Catheter PresentTopical chlorhexidine gluconate (at least 2%) + Intranasal antistaphyloccal antibiotic/antiseptic (e.g. mupirocin or iodophor) (core strategy)Topical chlorhexidine gluconate (at least 2%) + Intranasal antistaphyloccal antibiotic/antiseptic (e.g. mupirocin or iodophor) (supplemental strategy)
No CVC or Midline Catheter presentTopical chlorhexidine gluconate (at least 2%) + Intranasal antistaphyloccal antibiotic/antiseptic (i.e. mupirocin or iodophor) (core strategy)None (note that source control strategies may apply to pre-operative surgical patients outside the intensive care unit- see section 1on SSI prevention)


References

  1. O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J and the Healthcare Infection Control Practices Advisory Committee (HICPAC).  Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011[PDF – 83 pages].
  2. Marschall J, Mermel LA, Fakih M, Hadaway L, Kallen A, et al.  Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update by the Infectious Disease Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA).  Infection Control and Hospital Epidemiology, Volume 35 (S2), July 2014, S89-S107.
  3. Berrios-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, et al.  Centers for Disease Control and Prevention Guidelines for the Prevention of Surgical Site Infection, 2017.  JAMA Surgeryspecial web publication, May 2017.
  4. Anderson DJ, Podgorny K, Berrios-Torres SI, Bratzler DW, Dellinger EP, et al.  Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update by the Infectious Disease Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA).  Infection Control and Hospital Epidemiology, Volume 35 (S2), June 2014, S66-S88.
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  9. Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, et al.  Targeted Versus Universal Decolonization to Prevent ICU Infection.  NEJM, Volume 368 (24), June 2014, 2255-2265.
  10. Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, et al. Chlorhexidine versus Routine Bathing to Prevent Multi Drug-Resistant Organisms and All-Cause Bloodstream Infection in General Medical and Surgical Units: The ABATE Infection Cluster Randomized Trial.  Lancet, in press.
  11. Universal ICU Decolonization: An Enhanced Protocol.  Agency for Healthcare Research and Quality (AHRQ).
  12. Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings – Recommendations of the Healthcare Infection Control Practices Advisory Committee. 2017.[PDF – 15 pages].

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