I am looking for a consensus regarding possible contamination of a central line. If a patient has a tunneled line (PICC or Dialysis catheter specifically) and the patient is found with the dressing off, would you consider this line contaminated and recommend removal? These lines are sutured in place, and glue is placed over the insertion site to occlude the entry point. Many of these patients who have a long- term tunneled line do not use dressings when they are home. While we do prefer to cover the site during hospitalization, some patients remove the dressings during the night. Normally, we would consider any exposed line contaminated, but since there is occlusive glue applied to the site during insertion the entry point is sealed. I would appreciate any feedback regarding practices at your hospital for this population of patients.