I am wondering what other facilities are doing with patients who have a non-tunneled IJ or subclavian CICC at discharge who require long term antibiotics. We advocate for patients to receive a PICC (or tunneled line for patients who are not a candiate for a PICC) for long term ABX and remove the IJ or subclavian. Furthermore, we do not recommend patients with non-tunneled CICCs to leave the facility with these lines in place d/t risk for infection. The current INS SOP states there is no recommended dwell time for any VAD. Does anyone have any literature to support removing non tunneled CICC for long term treatment and placing a PICC or tunneled line?