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Another Q & A . . . CLABSI and the PICC Inserter

QUESTION: Question from cg on 1/10/2014: Is there any article that supports when the PICC nurse who inserts the PICC causes the CLABSI? How many days of PICC insertion can be attributed to the inserter versus care and maintenance? REPLY FROM NANCY MOUREAU: The issue of attributing CLABSI to the inserter is one of general debate. CLABSIs are applied to inserters within the first 48 hours, 5 days, 7 days and 10 days. I have seen many conflicting policies and no one really knows. The best article on the subject in my opinion is the James Davis Central-Line-Associated Bloodstream Infection: Comprehensive Data-Driven Prevention; Citation: Published in the Pennsylvania Patient Safety Authority 2011 Patient Safety Advisory Vol 8, No 3 , September 2011. Excellent question! (reply on 1/27/2014) Link to Davis article https://www.researchgate.net/publication/262178792_Central-Line-Associated_Bloodstream_Infection_Comprehensive_Data-Driven_Prevention

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