Question

Write on the recommended practices for prevention and management of CLABSI. [7]

Hint:

Prevention of CLABSI focuses on minimizing the risk of infection during catheter insertion, maintenance, and removal. Timely management is key to reducing morbidity.

Answer 1

Step 1: Prevention Practices for CLABSI:
1. Proper Hand Hygiene: Healthcare providers must wash their hands thoroughly before and after any contact with central lines.
2. Aseptic Technique: During the insertion, maintenance, and removal of central lines, strict aseptic techniques should be followed to avoid contamination.
3. Use of Chlorhexidine: Chlorhexidine is commonly used to clean the skin before the insertion of the catheter, which reduces the risk of infection.
4. Minimal Catheter Manipulation: Avoid unnecessary handling of the catheter to reduce the risk of contamination.
Step 2: Management Practices for CLABSI:
1. Prompt Removal of the Catheter: If CLABSI is suspected, the catheter should be promptly removed to prevent further infection.
2. Antibiotic Therapy: Empiric antibiotic therapy should be initiated immediately upon diagnosis, followed by the appropriate targeted therapy based on blood culture results.
3. Close Monitoring: Patients should be closely monitored for signs of sepsis or any complications arising from CLABSI, and timely interventions should be made.