Management of Hand Infections Following IV Insertion

Initial Assessment and Management

Remove the peripheral venous catheter immediately if signs of phlebitis or infection are present, as recommended by the Centers for Disease Control and Prevention, to prevent further complications 1
Perform hand antisepsis with alcohol-based hand rubs or antiseptic-containing soap and water before and after handling the infected site, as suggested by the World Health Organization, to reduce the risk of infection transmission 2
Clean the infected area with 0.5-2% alcoholic chlorhexidine solution, as recommended by the Centers for Disease Control and Prevention, to effectively reduce microbial load 2, 1
Allow the antiseptic to completely dry according to manufacturer's recommendations before any further manipulation, as advised by the Centers for Disease Control and Prevention, to ensure proper wound care 3

Apply appropriate sterile dressing, such as gauze dressings if the site is bleeding or oozing, as recommended by the Centers for Disease Control and Prevention, to promote wound healing 1
Change dressings regularly and inspect the wound for signs of worsening infection, as suggested by the Centers for Disease Control and Prevention, to monitor treatment effectiveness 3
Do not submerge the affected hand in water, though showering may be permitted if the wound is properly protected, as advised by the Centers for Disease Control and Prevention, to prevent infection spread 1

Designate trained personnel for the insertion and maintenance of intravascular catheters, as recommended by the Centers for Disease Control and Prevention, to reduce the risk of infection 1, 4
Use aseptic non-touch technique when handling catheters and changing dressings, as suggested by the World Health Organization, to prevent infection transmission 2
Replace peripheral venous catheters at least every 72-96 hours in adults, as recommended by the Centers for Disease Control and Prevention, to reduce the risk of phlebitis and infection 1, 4
Clean injection ports with 70% alcohol or an iodophor before accessing the system, as advised by the Centers for Disease Control and Prevention, to prevent contamination 5
Cap all stopcocks when not in use to prevent contamination, as recommended by the Centers for Disease Control and Prevention, to maintain asepsis 5