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History Forgotten Is History Relived
Nosocomial Infection Control Is Also Essential in the Outpatient Setting
Arch Intern Med. 2005;165:2565-2567.
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Those who cannot remember the past are condemned to repeat it.
George Santayana (1863-1952), The Life of Reason
One of the most important technologic advances in the history of medicine was the discovery in the last century that intravenous (IV) cannulation allows access to the bloodstream for administration of life-saving fluids, blood products, and drugs. In recent years, long-term vascular access with cuffed and tunneled Hickman-like central venous catheters (CVCs), subcutaneous central venous ports, and peripherally inserted central venous catheters (PICCs) has been sufficiently refined to permit stable access for months or even indefinitely for hemodialysis, parenteral nutrition, or cytotoxic cancer chemotherapy.
Unfortunately, vascular access is associated with underappreciated potential for producing iatrogenic bloodstream infection (BSI).1 There are 2 major sources of IV device (IVD)–related BSI2: (1) colonization of the IVD (catheter-related infection) and (2) contamination of the fluid administered through the device (infusate-related infection). . . . [Full Text of this Article]
AUTHOR INFORMATION
Dennis G. Maki, MD;
Christopher J. Crnich, MD
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