• David Cohen, Andrew Levinson, Jeffrey Mazer, Stephanie Lueckel, Gerardo Carino, and Leonard Mermel.
• Internal Medicine Resident at The Warren Alpert Medical School of Brown University (Rhode Island Hospital).
• R I Med J (2013). 2014 Aug 1;97(8):24-7.

RationaleRecent studies have shown that the incidence of bloodstream infections (BSIs) associated with arterial catheters (ACs) is comparable to that of central venous catheters (CVCs). In 2011, the CDC published guidelines recommending the use of limited barrier precautions during AC insertion. The goal of this study was to assess the attitudes and current antiseptic techniques employed by physicians who place arterial catheters in intensive care units.MethodsAn anonymous, web-based survey was sent to critical care physicians from multiple specialties at six teaching hospitals in Rhode Island.ResultsSurvey response rate was 33% (27/83). Only 44% of participants reported using CDC-recommended barrier precautions during AC insertion, and only 15% reported using full barrier precautions.ConclusionsUse of barrier precautions for arterial catheter insertion was inconsistent in the cohort surveyed. Less than half of physicians surveyed were in compliance with CDC guidelines. Further studies are warranted to determine the optimal preventive strategies for reducing BSIs associated with ACs.

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