{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:02:12Z","timestamp":1780920132295,"version":"3.54.1"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":3806,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0195941700079984_abs1\"><jats:title>Objective:<\/jats:title><jats:p>To evaluate the incidence of nosocomial bacteremias related to the use of non-impregnated central venous catheters (CVCs) when only non-technologic strategies were used to prevent them.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700079984_abs2\"><jats:title>Design:<\/jats:title><jats:p>This was a prospective study of infectious complications of CVCs placed in intensive care unit (ICU) patients from April 1997 to December 2001.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700079984_abs3\"><jats:title>Setting:<\/jats:title><jats:p>The medical\u2013surgical ICU of a tertiary-care, university-affiliated hospital in Argentina.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700079984_abs4\"><jats:title>Methods:<\/jats:title><jats:p>We studied all patients admitted to the ICU using non-impregnated CVCs. Maximal sterile barrier precautions (ie, use of cap, mask, sterile gown, sterile gloves, and large sterile drape), strict handwashing, preparation of the patients' skin with antiseptic solutions, insertion and management of catheters by trained personnel, and continuing quality improvement programs aimed at appropriate insertion and maintenance of catheters were employed.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700079984_abs5\"><jats:title>Results:<\/jats:title><jats:p>During the study period, 2,525 patients were admitted to the ICU. Eight hundred sixty-eight patients had 1,037 CVCs inserted. The number of CVC-related bloodstream infections (BSIs), acquired in the ICU, was 2.7 per 1,000 CVC-days (13 nosocomial CVC-related BSIs during 4,770 days of CVC use). Microorganisms isolated included methicillin-susceptible <jats:italic>Staphylococcus aureus<\/jats:italic> (n = 6), methicillin-resistant <jats:italic>S. aureus<\/jats:italic> (n = 2), coagulase-negative methicillin-resistant <jats:italic>Staphylococcus<\/jats:italic> (n = 2), <jats:italic>Escherichia coli<\/jats:italic> (n = 1), <jats:italic>Klebsiella pneumoniae<\/jats:italic> (n = 1), and <jats:italic>Enterobacter cloacae<\/jats:italic> (n = 1).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700079984_abs6\"><jats:title>Conclusions:<\/jats:title><jats:p>A low rate of catheter-related BSI was achieved without antimicrobial-impregnated catheters. The incidence of CVC-associated bacteremias corresponded to the 10th to 20th percentile range of the National Nosocomial Infections Surveillance System hospitals for the same type of ICU.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0195941700079984","type":"journal-article","created":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T20:37:27Z","timestamp":1557175047000},"page":"675-677","source":"Crossref","is-referenced-by-count":56,"title":["Prevention of Central Venous Catheter\u2013Related Bloodstream Infections Using Non-Technologic Strategies"],"prefix":"10.1017","volume":"25","author":[{"given":"Silvia Acosta","family":"Gnass","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Barboza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dafne","family":"Bilicich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Angeloro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Treiyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Gren\u00f3vero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Basualdo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700079984_ref010","first-page":"277","article-title":"Guideline for prevention of intravascular device-related infections: Part II. 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