Abstract
Infection remains the leading cause of morbidity and mortality in the burn patient. The current Center of Disease Control guidelines recommend against routine catheter changes to prevent catheter related blood stream infections (CRBSI). At our institution the use of the CDC guidelines resulted in rates of CRBSI that were higher than the threshold rates established by the CDC's National Nosocomial Infection Surveillance System (NNIS). The purpose of this study was to determine if routine central venous catheter (CVC) change would result in a decreased rate of CRBSI. Data was collected over a two year period from burn patients admitted to the burn center requiring central venous access. From September 03 to August 04 CDC guidelines were followed, lines were changed only when infection was suspected. From September 04 to August 05 all central venous catheters were changed every five days. Both groups had catheter dressing regimens that consisted of polyurethane...
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