Highlights
- •No consensus exists regarding infection prevention for most procedures.
- •We developed a classification of infection prevention strategies for procedures.
- •This model is intended as a starting point for further efforts on the topic.
No comprehensive guidelines or classification exist for infection prevention strategies
for medical procedures performed outside operating rooms. We reviewed the available
literature and used our clinical experience to develop a progressive, 5-tiered classification
of procedures, encompassing clean, aseptic, sterile-superficial, sterile-invasive,
and surgical-like procedures to address this need. We provide a description of these
categories, along with relevant examples. We fully acknowledge the limitations of
our work, which is intended as a starting point for future efforts and not to be definitive.
Key Words
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References
- Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials.Br Med J. 2003; 327: 1459-1461
- The GRADE system for rating clinical guidelines.PLoS Med. 2009; 6 (e1000094)
- From the EBM pyramid to the Greek temple: a new conceptual approach to Guidelines as implementation tools in mental health.Epidemiol Psychiatr Sci. 2017; 26: 105-114
- 2007 guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings.(The Healthcare Infection Control Practices Advisory Committee (HICPAC))2007
- An intervention to decrease catheter-related bloodstream infections.N Engl J Med. 2006; 35: 2725-2732
- Practice Guidelines for Central Venous Access.Anesthesiology. 2012; 116: 539-573
- Guidelines for the prevention if intravascular catheter-related infections, 2011.(USA: The Healthcare Infection Control Practices Advisory Committee (HICPAC))2011
- Guideline for prevention of catheter-associated urinary tract infection 2009.(USA: The Healthcare Infection Control Practices Advisory Committee (HICPAC))2009
- Preventing central line–associated bloodstream infections: useful tools, an international perspective.(Available from:) (Accessed June 15, 2017)
- Aseptic technique and clean technique procedure version 3.in: Infection prevention & control policy: appendix 7. NHS Southern Health, United Kingdom2014
- The Princess Bride [Motion picture].1987
- USA.(Available from)http://www.nejm.org/multimedia/medical-videos(Accessed June 15, 2017)Date: 2007-2017
- Clean vs. sterile dressing techniques for management of chronic wounds: a fact sheet.J Wound Ostomy Continence Nurs. 2012; 39: S30-4
- WHO guidelines on drawing blood: best practices in phlebotomy.(The World Health Organization)2010
- Centers for Disease Control and prevention guideline for the prevention of surgical site infection.JAMA Surg. 2017; 152: E1-8
Article Info
Publication History
Published online: September 20, 2017
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
