You can find a multitude of published articles on CRBSI by doing a Medline literature search. You will not find literature defining when the event is caused by insertion vs maintenance. You must look at the literature on biofilm development and the points of entry for microorganisms. This is skin vs the catheter hub.
Anything before 48 hours is not considered a HAI. Insertion related is considered to be cause up to72 hours but I have seen folks that extend out to 96 hours. Maki stated that as early as 3 days intraluminal contamination can be the cause. Insertion cause is extraluminal.
for starters....
Mermel et.al. IDSA Guidelines:
Clinical Practice Guidelines for the Diagnosis
and Management of Intravascular Catheter-Related
Infection: 2009 Update by the Infectious Diseases
Society of America
and..
Ryder - Catheter-Related Infections: It's All About Biofilm
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
You can find a multitude of published articles on CRBSI by doing a Medline literature search. You will not find literature defining when the event is caused by insertion vs maintenance. You must look at the literature on biofilm development and the points of entry for microorganisms. This is skin vs the catheter hub.
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Anything before 48 hours is not considered a HAI. Insertion related is considered to be cause up to72 hours but I have seen folks that extend out to 96 hours. Maki stated that as early as 3 days intraluminal contamination can be the cause. Insertion cause is extraluminal.
Denise