Infection control guidelines for the cardiac catheterization laboratory

Society guidelines revisited

Charles Chambers, Michael D. Eisenhauer, Lynn B. McNicol, Peter C. Block, William J. Phillips, Gregory J. Dehmer, Frederick A. Heupler, James C. Blankenship

Research output: Contribution to journalReview article

34 Citations (Scopus)

Abstract

In the early years of diagnostic cardiac catheterization, strict sterile precautions were required for cutdown procedures. Thirteen years ago, when the original guidelines were written, the brachial arteriotomy was still frequently utilized, femoral closure devices were uncommon, "implantables," such as intracoronary stents and PFO/ASD closure devices, were in their infancy, and percutaneous valve replacement was not a consideration. In 2005, the cardiac catheterization laboratory is a complex interventional suite with percutaneous access routine and device implantation standard. Despite frequent device implantation, strict sterile precautions are often not observed. Reasons for this include a decline in brachial artery cutdown, limited postprocedure follow-up with few reported infections, limited use of hats and masks in televised cases, and lack of current guidelines. Proper sterile technique has the potential to decrease the patient infection rate. Hand washing remains the most important procedure for preventing infections. Caps, masks, gowns, and gloves help to protect the patient by maintaining a sterile field. Protection of personnel may be accomplished by proper gowning, gloving, and eye wear, disposal of contaminated equipment, and prevention and care of puncture wounds and lacerations. With the potential for acquired disease from blood-borne pathogens, the need for protective measures is as essential in the cardiac catheterization laboratory as is the standard Universal Precautions, which are applied throughout the hospital. All personnel should strongly consider vaccination for hepatitis B. Maintenance of the cardiac catheterization laboratory environment includes appropriate cleaning, limitation of traffic, and adequate ventilation. In an SCAI survey, members recommended an update on guidelines for infection control in the cardiac catheterization laboratory. The following revision of the original 1992 guidelines is written specifically to address the increased utilization of the catheterization laboratory as an interventional suite with device implantation. In this update, infection protection is divided into sections on the patient, the laboratory personnel, and the laboratory environment. Additionally, specific CDC recommendation sections highlight recommendations from other published guidelines.

Original languageEnglish (US)
Pages (from-to)78-86
Number of pages9
JournalCatheterization and Cardiovascular Interventions
Volume67
Issue number1
DOIs
StatePublished - Jan 1 2006

Fingerprint

Cardiac Catheterization
Infection Control
Guidelines
Equipment and Supplies
Masks
Infection
Universal Precautions
Blood-Borne Pathogens
Laboratory Personnel
Hand Disinfection
Brachial Artery
Lacerations
Centers for Disease Control and Prevention (U.S.)
Thigh
Hepatitis B
Punctures
Catheterization
Stents
Ventilation
Vaccination

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Chambers, C., Eisenhauer, M. D., McNicol, L. B., Block, P. C., Phillips, W. J., Dehmer, G. J., ... Blankenship, J. C. (2006). Infection control guidelines for the cardiac catheterization laboratory: Society guidelines revisited. Catheterization and Cardiovascular Interventions, 67(1), 78-86. https://doi.org/10.1002/ccd.20589
Chambers, Charles ; Eisenhauer, Michael D. ; McNicol, Lynn B. ; Block, Peter C. ; Phillips, William J. ; Dehmer, Gregory J. ; Heupler, Frederick A. ; Blankenship, James C. / Infection control guidelines for the cardiac catheterization laboratory : Society guidelines revisited. In: Catheterization and Cardiovascular Interventions. 2006 ; Vol. 67, No. 1. pp. 78-86.
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Chambers, C, Eisenhauer, MD, McNicol, LB, Block, PC, Phillips, WJ, Dehmer, GJ, Heupler, FA & Blankenship, JC 2006, 'Infection control guidelines for the cardiac catheterization laboratory: Society guidelines revisited', Catheterization and Cardiovascular Interventions, vol. 67, no. 1, pp. 78-86. https://doi.org/10.1002/ccd.20589

Infection control guidelines for the cardiac catheterization laboratory : Society guidelines revisited. / Chambers, Charles; Eisenhauer, Michael D.; McNicol, Lynn B.; Block, Peter C.; Phillips, William J.; Dehmer, Gregory J.; Heupler, Frederick A.; Blankenship, James C.

In: Catheterization and Cardiovascular Interventions, Vol. 67, No. 1, 01.01.2006, p. 78-86.

Research output: Contribution to journalReview article

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