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Vascular Access Selection
                                                                                                and Management

© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved.  Vascular Access for PN Administration

                                                                                            • Placement of central venous access devices (CVAD) associated with
                                                                                              adverse events, even in the absence of PN1

                                                                                            • CLABSI associated with prolonged hospital LOS and higher cost of
                                                                                              hospitalization1,2

                                                                                                o Median estimated cost savings per one prevented CLABSI: $42,609 (IQR
                                                                                                    19,000–46,739)2

                                                                                            • Use of “care bundles” has been associated with sustained reduction in
                                                                                              rate of CLABSI1,2,3

                                                                                            1. O’Grady NP. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control. 2011;39;S1-S34.
                                                                                            2. Ista E. Lancet Infect Dis 2016;16: 724–34

                                                                                            3. Marschall. Strategies to prevent central line-associated bloodstream infections in acute care hospitals:2014 update. Infect

                                                                                            Control Hosp Epidemiol.2014;35(7):753-771.

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