INTERVENTION ASSIGNMENT (FOR THE BSI QIA) #9 ANTIMICROBIAL - PowerPoint PPT Presentation

SEPTEMBER CORE INTERVENTION ASSIGNMENT (FOR THE BSI QIA) #9 ANTIMICROBIAL OINTMENT 1

9. . Ant Antimi imicr crob obial ial oint ointmen ment Apply antibiotic ointment or povidone-iodine ointment to catheter exit sites during dressing change. Triple antibiotic ointment might have similar benefit to bacitracin/gramicidin/polymyxinB Chlorhexidine-impregnated sponge dressing might be an alternative 2

ANTIMICROBIAL OINTMENT & CHLORHEXIDINE SPONGE DRESSING 2011 CDC/HICPAC guidelines: • Use povidoneiodine antiseptic ointment or bacitracin/ gramicidin/ polymyxinB ointment at the hemodialysis catheter exit site after catheter insertion and at the end of each dialysis session only if this ointment does not interact with the material of the hemodialysis catheter per manufacturer’s recommendation. Category IB • Use a chlorhexidine-impregnated sponge dressing for temporary short-term catheters in patients older than 2 months of age if the CLABSI rate is not decreasing despite adherence to basic prevention measures, including education and training, appropriate use of chlorhexidine for skin antisepsis, and maximal sterile barrier precautions. Category IB 2011 Guidelines for the Prevention of Intravascular Catheter-Related Infections https://www.cdc.gov/infectioncontrol/guidelines/BSI/index.html 3