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Indications of Marschall et al for Use of a Chlorhexidine-Containing Sponge Dressing About an Intravascular Catheter

Description

Circular sponges containing chlorhexidine can be placed around an intravascular catheter as it enters the skin. Marschall et al listed situations where such a catheter may be indicated to reduce catheter-related infections. The authors are from the Society for Healthcare Epidemiology (SHEA) and Infectious Diseases Society of America (IDSA).


 

Indications:

(1) "high" rate of intravascular catheter associated infections despite careful compliance with evidence-based recommendations for preventing such infections

(2) a patient with limited venous access AND a history of recurrent intravascular catheter associated infections

(3) a patient at high risk for complications if a central line associated bloodstream infection occurs (prosthetic valve, recently implanted intravascular device, etc).

 

Contraindications:

(1) low birth weight neonate or patient less than 2 months of age

(2) allergy to chlorhexidine

 


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