Disinfection of Needleless Connector Hubs: Clinical Evidence Systematic Review

Article


Moureau, Nancy L. and Flynn, Julie. 2015. "Disinfection of Needleless Connector Hubs: Clinical Evidence Systematic Review." Nursing Research and Practice. 2015, pp. 1-20. https://doi.org/10.1155/2015/796762
Article Title

Disinfection of Needleless Connector Hubs: Clinical Evidence
Systematic Review

ERA Journal ID201317
Article CategoryArticle
AuthorsMoureau, Nancy L. (Author) and Flynn, Julie (Author)
Journal TitleNursing Research and Practice
Journal Citation2015, pp. 1-20
Article Number796762
Number of Pages20
Year2015
Place of PublicationUnited Kingdom
ISSN2090-1429
2090-1437
Digital Object Identifier (DOI)https://doi.org/10.1155/2015/796762
Web Address (URL)https://www.hindawi.com/journals/nrp/2015/796762
Abstract

Background. Needleless connectors (NC) are used on virtually all intravascular devices, providing an easy access point for infusion connection. Colonization of NC is considered the cause of 50% of postinsertion catheter-related infections. Breaks in aseptic technique, from failure to disinfect, result in contamination and subsequent biofilm formation within NC and catheters increasing the potential for infection of central and peripheral catheters. Methods. This systematic review evaluated 140 studies and 34 abstracts on NC disinfection practices, the impact of hub contamination on infection, and measures of education and compliance. Results. The greatest risk for contamination of the catheter after insertion is the NC with 33–45% contaminated, and compliance with disinfection as low as 10%. The optimal technique or disinfection time has not been identified, although scrubbing with 70% alcohol for 5–60 seconds is recommended. Studies have reported statistically significant results in infection reduction when passive alcohol disinfection caps are used (48–86% reduction). Clinical Implications. It is critical for healthcare facilities and clinicians to take responsibility for compliance with basic principles of asepsis compliance, to involve frontline staff in strategies, to facilitate education that promotes understanding of the consequences of failure, and to comply with the standard of care for hub disinfection.

KeywordsBlood-stream infections; Peripheral intravenous catheter; Central venous catheters; Intensive-care-units; Educational interventions; Microbial-contamination; Povidone-iodine; Aseptic insertion; Randomized-trial; Culture method
ANZSRC Field of Research 2020420506. Sub-acute care
420501. Acute care
420599. Nursing not elsewhere classified
Public Notes

Copyright © 2015 N. L. Moureau and J. Flynn. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Byline AffiliationsPICC Excellence, United States
Griffith University
Institution of OriginUniversity of Southern Queensland
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