Richard J. Powers, MD, David W. Wirtschafter, MD

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Presentation transcript:

Decreasing Central Line Associated Bloodstream Infection in Neonatal Intensive Care Richard J. Powers, MD, David W. Wirtschafter, MD Clinics in Perinatology Volume 37, Issue 1, Pages 247-272 (March 2010) DOI: 10.1016/j.clp.2010.01.014 Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 1 Scanning electron microscopy images show the rim (arrow 1) and a small part of the access port (arrow 2) of a connector that has been used on an intensive care patient. (From Ryder M. Improve CRBSI prevention: target intraluminal risks. Executive Healthcare Management 2009; Issue 8; with permission. Available at: http://www.executivehm.com/article/Improve-CRBSI-Prevention-Target-Intraluminal-Risks/.) Clinics in Perinatology 2010 37, 247-272DOI: (10.1016/j.clp.2010.01.014) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 2 Higher magnifications reveal that large areas of the rim are covered with a dense biofilm. (From Ryder M, Schaudinn C, Gorur A, et al. Microscopic evaluation of microbial colonization on needleless connectors. Publication Number 5-36, APIC Annual Education Conference, Denver, CO 2008; with permission.) Clinics in Perinatology 2010 37, 247-272DOI: (10.1016/j.clp.2010.01.014) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 3 Biofilm visible inside needleless connector. (From Ryder M. Improve CRBSI prevention: target intraluminal risks. Executive Healthcare Management 2009; Issue 8; with permission. Available at: http://www.executivehm.com/article/Improve-CRBSI-Prevention-Target-Intraluminal-Risks/.) Clinics in Perinatology 2010 37, 247-272DOI: (10.1016/j.clp.2010.01.014) Copyright © 2010 Elsevier Inc. Terms and Conditions