Central venous or peripherally inserted central catheters require close monitoring for signs of central line-associated bloodstream infections (CLABSI) and should be reviewed daily during multidisciplinary rounds to ensure the appropriateness of the catheter and its intended use. Peripheral intravenous catheters should be assessed daily and removed if they are not part of the continued plan of care or the lumen remains dormant for greater than 24 hours. Unless medically necessary for parenteral nutrition or vasoactive support, the strategies to mitigate CLABSI in central venous access should include considering an access device that is the least invasive with the greatest likelihood of reaching the end of the planned therapy with the lowest rate of replacements and complications. For more information:
Alberta Health Services. Calgary health region: Central vascular catheter (CVC) management protocol. 2007.
Canadian Patient Safety Institute. Central line-associated bloodstream infection (CLABSI): Getting started kit [Internet]. 2012.
Chopra V, et al. The Michigan appropriateness guide for intravenous catheters (MAGIC): Results from a multispecialty panel using the RAND/UCLA appropriateness method. Annals of internal medicine. 2015;163(6 Suppl): S1-S40. PMID: 26369828.
Gorski LA, et al. Infusion therapy standards of practice. Journal of Infusion Nursing. 2016;39(1S): S1-S159. PMID: 27922994.
Velasquez Reyes DC, et al. Prevention of central venous line associated bloodstream infections in adult intensive care units: A systematic review. Intensive and Critical Care Nursing. 2017;43: 12–22. PMID: 28663107.