Title
Prevention of Central Line-Associated Bloodstream Infections in the Neonatal Intensive Care Unit
Authoring Organization
Publication Month/Year
March 3, 2022
Last Updated Month/Year
October 17, 2024
Document Type
Consensus
Country of Publication
US
Document Objectives
To provide practical, expert opinion, and/or evidence-based answers to frequently asked questions about CLABSI detection and prevention in the NICU. This document serves as a companion to the CDC Healthcare Infection Control Practices Advisory Committee (HICPAC) Guideline for Prevention of Infections in Neonatal Intensive Care Unit Patients.
Target Patient Population
NICU patients
Target Provider Population
Neonatologists, Pediatricians, Infection Control
PICO Questions
How often should CVC dressings be changed in NICU infants?
In which NICU patients should CHG-impregnated sponges or other CHG-impregnated dressings be used?
What are practical considerations for the implementation of a neonatal vascular access team (VAT)?
What preventive bundle elements, above and beyond those recommended by the CDC, could be considered by a NICU experiencing ongoing CLABSIs?
In which NICU patients should CHG-impregnated sponges or other CHG-impregnated dressings be used?
Inclusion Criteria
Male, Female, Infant
Health Care Settings
Hospital
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Prevention
Diseases/Conditions (MeSH)
D001424 - Bacterial Infections
Keywords
central line-associated bloodstream infection (CLABSI), Central Venous Catheter, CLABSI, NICU, neonatal intensive care unit, PICC, chlorhexidine gluconate, skin antisepsis, CVC dressing, CHG-impregnated dressings, alcohol disinfectant caps, CHG bathing, laboratory stewardship, diagnostic stewardship, prophylactic antimicrobial lock, peripherally inserted central catheter, neonatal vascular access team
Source Citation
Muller M, Bryant KA, Espinosa C, Jones JA, Quach C, Rindels JR, Stewart DL, Zangwill KM, Sánchez PJ. SHEA neonatal intensive care unit (NICU) white paper series: Practical approaches for the prevention of central line-associated bloodstream infections. Infect Control Hosp Epidemiol. 2022 Mar 4:1-46. doi: 10.1017/ice.2022.53. PMID: 35241185.