Do Needle-Free Connectors Prevent Catheter-Related Bloodstream Infections in Patients Receiving Hemodialysis Treatments Using Central Venous Catheters?

摘要

The rate of central venous catheter (CVC) use for patients on hemodialysis in the United States has decreased in recent years, though the rate of hospitalizations due to infections has increased. Each time a CVC hub is accessed, there is potential for microorganisms to enter the lumen and initiate a bloodstream infection. Needle-free catheter connectors provide a mechanically closed space to prevent frequent manipulation of catheter hubs. The needle-free connector may be a valuable addition to incorporate into infection prevention policies for hemodialysis units. This article explores the research for evidence of needle-free connectors decreasing the rate of catheter-related bloodstream infections (CRBSIs) in hemodialysis units.