WHO‘s Latest Directive Focuses On Decreasing Bloodstream Infections Associated With Catheter Usage
The World Health Organization (WHO) releases inaugural global protocols to forestall bloodstream and other infections resulting from the insertion of catheters in peripheral blood vessels during medical procedures.
Inadequate procedures during catheter insertion, upkeep, and extraction pose a significant risk of introducing pathogens directly into the bloodstream, potentially causing severe ailments like sepsis and challenging complications in vital organs such as the brain and kidneys. Additionally, there’s a possibility of soft tissue infections at the catheter insertion point.
Up to 70% of all inpatients require the use of a catheter inserted into a peripheral vein or artery, also known as peripherally inserted catheters (PIVCs), at some point during their hospital stay. People who receive treatments through catheters often are particularly vulnerable to infections, as they might be seriously ill or have low immunity. WHO estimated that between 2000–2018, average mortality among patients affected by health care-associated sepsis was 24.4%, increasing to 52.3% among patients treated in intensive care units.
Many bloodstream infections are caused by antibiotic resistant bacterial infections. It is estimated that bacterial antimicrobial resistance (AMR) was directly responsible for at least 1.27 million deaths and contributed to an additional 4.95 million deaths in 2019.
“Infections associated with health care delivery represent a preventable tragedy and a serious threat to the quality and safety of health care.” said Dr Bruce Aylward, WHO Assistant Director-General for Universal Health Coverage, Life Course. “Implementing clean care and infection prevention and control recommendations is critical to saving lives and alleviating a great deal of avoidable suffering experienced by people around the world”.
Developing and implementing guidance to prevent the spread of such infections has been a key priority for WHO. The new guidelines include 14 good practice statements and 23 recommendations on key areas for health workers, including:
education and training of health workers
techniques of asepsis and hand hygiene practices
insertion, maintenance, access, removal of catheters, and
catheter selection
WHO will continue to work with countries to develop and implement best practices to reduce the occurrence of bloodstream infections in hospitals, and to ensure all patients receive safe and effective care.
