Featured Research

from universities, journals, and other organizations

Use of disinfection cap is associated with fewer bloodstream infections, study finds

Date:
January 3, 2013
Source:
NorthShore University HealthSystem
Summary:
Central line-associated bloodstream infections (CLABSI) dropped by 52 percent when an alcohol-impregnated disinfection cap was used instead of standard scrubbing protocol, according to a new study.

Central line-associated bloodstream infections (CLABSI) dropped by 52 percent when an alcohol-impregnated disinfection cap was used instead of standard scrubbing protocol, according to a new study.

Related Articles


The study, which involved all four hospitals in the NorthShore system, was published in the January 2013 issue of the American Journal of Infection Control.

Because of the study results, use of the disinfection cap has been adopted as a standard of practice at NorthShore for all central IV catheters.

"Most hospitals have a hard time assuring proper disinfection of IV needleless connectors," said Marc-Oliver Wright MT (ASCP), MS, CIC, the study's lead author and Corporate Director of Infection Control for NorthShore. "This is a real concern because contaminated connectors are a major source of central line associated bloodstream infections, or CLABSIs. We found that a disinfection cap was a very effective solution to the widely recognized shortcomings of the standard method for disinfecting IV connectors."

Researchers also assessed the cost-effectiveness of the cap and concluded that its use resulted in net cost savings.

The study was undertaken because the standard protocol for manually disinfecting connector hubs, called "scrub the hub," often fails because time-pressed nurses are not always able to properly scrub IV connectors with alcohol.

CLABSIs are a serious and often fatal form of infection that many hospitals have found difficult to control. The "scrub the hub" method of manual disinfection, with its inherent challenges, is often cited as a potential cause when a hospital's CLABSI rate is high.

The study was designed to determine whether a disinfection cap overcame problems with manual disinfection. The cap (SwabCap; Excelsior Medical, Neptune, NJ) is a plastic device that twists onto the threads of the IV connector. Attaching it to the connector compresses a medical-grade foam pad inside the cap that releases isopropyl alcohol (IPA) onto the connector hub to disinfect it.

The cap is left in place between IV line accesses, and its retention seal keeps the connector bathed in alcohol while protecting it from contamination by external sources. An IV connector is a device that connects an IV catheter to tubing and helps deliver medications and nutrition. Incomplete disinfection of a connector can allow bacteria to enter the connector's fluid pathway and cause an infection.

"Disinfection caps were invented because of the problems with 'scrub the hub,'" Wright said. "Theoretically, they should compensate for those problems and provide additional protection for patients, as well. But you never know if something will work as intended until you do the research. Our study design showed in multiple ways that the cap was associated with fewer infections."


Story Source:

The above story is based on materials provided by NorthShore University HealthSystem. Note: Materials may be edited for content and length.


Journal Reference:

  1. Marc-Oliver Wright, Jackie Tropp, Donna M. Schora, Mary Dillon-Grant, Kari Peterson, Sue Boehm, Ari Robicsek, Lance R. Peterson. Continuous passive disinfection of catheter hubs prevents contamination and bloodstream infection. American Journal of Infection Control, 2013; 41 (1): 33 DOI: 10.1016/j.ajic.2012.05.030

Cite This Page:

NorthShore University HealthSystem. "Use of disinfection cap is associated with fewer bloodstream infections, study finds." ScienceDaily. ScienceDaily, 3 January 2013. <www.sciencedaily.com/releases/2013/01/130103092014.htm>.
NorthShore University HealthSystem. (2013, January 3). Use of disinfection cap is associated with fewer bloodstream infections, study finds. ScienceDaily. Retrieved March 4, 2015 from www.sciencedaily.com/releases/2013/01/130103092014.htm
NorthShore University HealthSystem. "Use of disinfection cap is associated with fewer bloodstream infections, study finds." ScienceDaily. www.sciencedaily.com/releases/2013/01/130103092014.htm (accessed March 4, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, March 4, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Adults Only Get The Flu Twice A Decade, Researchers Say

Adults Only Get The Flu Twice A Decade, Researchers Say

Newsy (Mar. 4, 2015) Researchers found adults only get the flu about once every five years. Scientists analyzed how a person&apos;s immunity builds up over time as well. Video provided by Newsy
Powered by NewsLook.com
Mount Everest Has a Poop Problem

Mount Everest Has a Poop Problem

Buzz60 (Mar. 4, 2015) With no bathrooms to use, climbers of Mount Everest have been leaving human waste on the mountain for years, and it&apos;s becoming a health issue. Mike Janela (@mikejanela) has more. Video provided by Buzz60
Powered by NewsLook.com
Mom Triumphs Over Tragedy, Helps Other Families

Mom Triumphs Over Tragedy, Helps Other Families

AP (Mar. 3, 2015) After her son, Dax, died from a rare form of leukemia, Julie Locke decided to give back to the doctors at St. Jude Children&apos;s Research Hospital who tried to save his life. She raised $1.6M to help other patients and their families. (March 3) Video provided by AP
Powered by NewsLook.com
Looted and Leaking, South Sudan's Oil Wells Pose Health Risk

Looted and Leaking, South Sudan's Oil Wells Pose Health Risk

AFP (Mar. 3, 2015) Thick black puddles and a looted, leaking ruin are all that remain of the Thar Jath oil treatment facility, once a crucial part of South Sudan&apos;s mainstay industry. Duration: 01:13 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins