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© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. Impact of Catheter Bundles

• Meta-analysis of adult, pediatric and neonatal ICU catheter bundles
• 79 studies included

o 49 adult ICUs, 10 PICU, 13 NICU, 7 Combined ICUs
o In adult ICUs:

- Pre-intervention: 1.2-46.3 CLABSI’s per 1000 catheter days
- Post-intervention: 0-19.5 CLABSI’s per 1000 catheter days

Ista E. Lancet Infect Dis 2016;16: 724–34

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© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. Components of CVAD Insertion Bundles

• Hand hygiene
• Full barrier precautions
• Chlorhexidine skin antisepsis

o Maintain aseptic technique throughout insertion of CVAD

• Optimal catheter type selection
• Optimal catheter site selection

o Avoid femoral vein

• Sterile dressing
• Daily review of central lines; remove as soon as clinically able

https://www.jointcommission.org/assets/1/6/CLABSI_Toolkit_Tool_3-18_CVC_Insertion_Bundles.pdf. Accessed online 11/5/2019.
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