Exit Site Management

There are two potential routes of infection with CVCs, intraluminal and extraluminal. Strategies to combat the intraluminal route of infection include catheter coatings and catheter lock solutions. Current strategies to combat the extraluminal route of infection are focused on Exit Site Management, or ESM.
 
Successful ESM is multifaceted and includes strict nursing protocols on good hygiene and catheter handling techniques, patient awareness and education, and new infection reduction dressing technologies.

Infection reduction dressings contain agents such as chlorhexadine gluconate and act as a barrier to the extraluminal route of infection. These dressings require frequent replacement over the life of the implanted CVC.

An ideal solution to ESM would be to naturally seal off the extraluminal route of infection at the time of CVC placement. In essense, there would be “No exit Site” and Marvao Medical’s NexSitetm technology is uniquely designed to achieve this effect.

  • NexSitetm

    A long-term Central Venous Catheter (CVC) to reduce CRBSI by eliminating the exit site as route of infection.