ASC Spotlight - Q2 2019 - 39

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WOUND CARE

Hear from the Experts
Organization

Statement

The Joint Commission

NPSG.07.04.01 Use proven guidelines to prevent infection of the blood from central lines17

Centers for Disease Control

For patients aged 18 years and older: Chlorhexidine-impregnated dressings with an FDA-cleared label that specifies a clinical indication for
reducing CRBSI or CABSI are recommended to protect the insertion site of short-term, non-tunneled central venous catheters. Category 1A Strongly Recommended and strongly supported.1

Infusion Nurses Society

Use chlorhexidine-impregnated dressings over CVADs to reduce infection risk when the extraluminal route is the primary source of infection.18

American Association of Critical-Care Nurses

Apply chlorhexidine-impregnated sponge dressing to site. Decreases the risk of bacterial growth at the insertion site.19

Oncology Nursing Society

Use a CHG-impregnated sponge dressing for all (CVC) catheters, including specialty catheters in patients older than 2 months of age. Emerging
data suggests that the rate of catheter-related bloodstream infections from peripheral catheters may be higher than once thought20

Association for Professionals in Infection
Control and Epidemiology (APIC)

The risk for infection is present during the entire dwell time of the catheter
The use of a post-insertion care bundle was associated with a significant reduction21

For use with both vascular and nonvascular percutaneous devices

Central Venous
Catheters

Dialysis
Catheters

Arterial
Catheters

PICC Lines

Peripheral IVs

Midline
Catheters

Epidural
Catheters

Implanted
Venous Ports

External
Fixator Pins

Drains

BIOPATCH® Protective Disk with CHG

ORDER CODE
Size

FRENCH SIZE RANGE
Common Uses

4150

4151

4152

1" disc (2.5cm)
w/4.0mm
center hole

3/4" disc (1.9cm)
w/1.5mm
center hole

1" disc (2.5cm)
w/7.0mm
center hole

6-12Fr

<6Fr

13-20Fr

Central Lines
PICC

Peripheral IVs
Huber Needles (ports)
Arterial Lines
Extended Dwell PIVs
Midlines
PICCs
Pins

Dialysis Catheters
Drains
Sheaths
Cordis Catheters
VAD drive lines

QUANTITY PER CASE

10/box
4 boxes/case, 40

Average CHG per disk

92 mg

52.5 mg

86.8 mg

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert
References
1. 2017 Updated Recommendations on the Use of Chlorhexidine-Impregnated Dressings for Prevention of Intravascular Catheter-Related Infections Published Nov 1, 2017 2. HAI Data and Statistics, Centers
for Disease Control and Prevention, http://www.cdc.gov/hai/surveillance/, Last updated Jan. 2018, Accessed Jul. 2018. 3. Scott RD II. The Direct Medical Costs of Healthcare-Associated Infections in US
Hospitals and the Benefits of Prevention. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases. Coordinating Center for Infectious
Diseases, Centers for Disease Control and Prevention. 2009 4. Dychter SS, Gold DA, Carson D, Haller M. Intravenous therapy: a review of complications and economic considerations of peripheral access.
Journal of Infusion Nursing. 2012;35 (2):84-91. 5. Data Summary of HAIs in the US: Assessing Progress 2006-2016, CDC, https://www.cdc.gov/hai/data/archive/data-summary-assessing-progress.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fdata-reports%2Fdata-summary-assessing-progress.html. Published Sep. 24, 2018. Accessed Nov. 6, 2018. 6. Hendley JO, Ashe
KM. Effect of topical antimicrobial treatment on aerobic bacteria in the stratum corneum of human skin. Antimicrobial Agents and Chemotherapy. April 1991;35(4):627-631 7. Bhende MS, Rothenburger S.
In vitro antimicrobial effectiveness of 5 catheter insertion-site dressings. The Journal of the Association for Vascular Access. 2007; 12(4):227-231 8. BIOPATCH clinical compendium, 077880-170803
9. Levy, I. et al. Chlorhexidine-Impregnated Dressing for Prevention of Colonization of Central Venous Catheters in Infants and Children. The Pediatric Infectious Disease Journal. 2005 August;24: 676-679
10. Garland, J. et al. A Randomized Trial Comparing Povidone-Iodine to a Chlorhexidine Gluconate-Impregnated Dressing for Prevention of Central Venous Catheter Infections in Neonates. Pediatrics.
2001;107;1431 11. Biopatch Original 510K submission: Prepared by VitaPhore Corporation. Premarket Notification, 510(k) : Regulatory Requirements for Medical Devices. Rockville, Md. : Washington, D.C.
:U.S. Dept. of Health and Human Services, Public Health Service, Food and Drug Administration, Center for Devices and Radiological Health ; For sale by the Supt. of Docs., U.S. G.P.O., 1989. Print. 12.
Global Business Insights June 2018 Market Share Report 13. Westergom C. Ex Vivo Comparative Analysis of Chlorhexidine Gluconate (CHG) Coverage on Porcine Skin. Ethicon, Inc., Somerville, NJ, 2008
14. BIOPATCH® Protective Disk with CHG, Instructions for Use, Ethicon, INC, 2011 15. Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: a
systematic review of 200 published prospective studies. Mayo Clin Proc 2006; 81:1159-1171. 16. US Catheter Procedure Volumes, SmartTrak, https://app.smarttrak.com/markets/qs/6580 Accessed 14 May,
2018. 17. Hospital National Patient Safety Goals, The Joint Commission, https://www.jointcommission. org/assets/1/6/2018_HAP_NPSG_goals_final.pdf. Accessed July 16, 2018. 18. 2016 Infusion Nursing
Standards of Practice. Volume 39, Number 1S, Page S82, Section J. Norwood, MA 19. Procedure Manual for High Acuity, Progressive, and Critical Care. 7th Ed, AACN 2017. 20. Access Device Standards of
Practice for Oncology Nursing, ONS 2017 21. Guide to Preventing Central Line Associated Bloodstream Infections. APIC. 2017.
© 2018 Ethicon US, LLC. 032669-181119

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ASC Spotlight - Q2 2019

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