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Junctional Care: The Key to Prevention of Catheter Sepsis in Intravenous Feeding
Author(s) -
Stotter Anne T.,
Ward Harry,
Waterfield Andrew H.,
Hilton Judith,
Sim Andrew J.W.
Publication year - 1987
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607187011002159
Subject(s) - sepsis , catheter , medicine , intensive care medicine , staphylococcus epidermidis , central venous catheter , staphylococcus aureus , surgery , biology , bacteria , genetics
Investigation of an outbreak of infection related to intravenous feeding catheters, predominantly with Staphylococcus epidermidis, suggested that the probable origin was the connections in the delivery system. Equipment and policy changes were then instituted: a catheter with integral hub was used, the connections were reduced from two to one, and improved antisepsis at the connection was devised. These actions resulted in a sustained, significant reduction in the catheter sepsis rate, supportng the hypothesis that junctional care is vital to the avoidance of catheter infection. (Journal of Parenteral and Enteral Nutrition 11 :159–162 1987)