Central line-associated bloodstream infection; CLABSI; Peripherally inserted central catheter - infection; PICC - infection; Central venous catheter - infection; CVC - infection; Central venous device - infection
You have a central line. This is a long tube (catheter) that goes into a vein in your chest or arm and ends at your heart. Your central line will carry nutrients and medicine into your body. It can also be used to take blood when you need to have blood tests.
Central line infections are very serious. They can make you sick and increase how long you are in the hospital. Your central line needs special care to prevent infection.
Preventing Central Line Infections in the Hospital
You may have a central line if you:
Need antibiotics or other medicines for weeks or months
Require nutrition because your bowels are not working correctly
Need kidney dialysis
Have poor venous access
Anyone who has a central line can get an infection. Your risk is higher if you:
Are in the intensive care unit (ICU)
Have a weakened immune system or serious illness
Are having a bone marrow transplant or chemotherapy
Have the line for a long time
Have a central line in your neck or groin
What the Hospital Should Do
The hospital staff will use aseptic technique when a central line is put in your chest or arm. Aseptic technique means keeping everything as sterile as possible. They will:
Wash their hands
Put on a mask, gown, cap and sterile gloves
Clean the site where the central line will be placed
Use a sterile cover for your body
Make sure everything they touch during the procedure is sterile
Cover the catheter with gauze or clear plastic tape once it is in place
Hospital staff should check your central line every day to make sure it is in the right place and to look for signs of infection. The gauze or tape over the site should be changed if it is dirty.
How You Can Help During Your Hospital Stay
ke sure not to touch your central line unless you have washed your hands.
Tell you nurse if your central line:
Is coming out of your vein
Is leaking, or the catheter is cut or cracked
You can take a shower when your doctor says it is okay to do so. Your nurse will help you cover your central line when you shower to keep it clean and dry.
Signs of Infection to Watch for
If you notice any of these signs of infection, tell your doctor or nurse right away.
Redness at the site or red streaks around the site
Swelling or warmth at the site
Yellow or green drainage
Pain or discomfort
Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.