
    publication of guidelines advising against the use of ethanol locks.
  
['catheter-related bloodstream infection (crbsi) nos', 'bloodstream infection due to central venous catheter', 'bloodstream infection due to hickman catheter']
['ethanol', 'heparin lock', 'normal saline']

        Inclusion Criteria:

          -  Newly started on Home parenteral Nutrition and anticipated duration >3 months.

          -  Not previously on Home Parenteral Nutrition.

          -  Providing consent.

          -  Patients with non-medicare insurance.

          -  Patients with medicare insurance and a supplementary insurance.

          -  Patients with single lumen Hickman® catheters.

          -  No known alcohol addiction.

        Exclusion Criteria:

          -  Failure to provide consent

          -  Patients with medicare insurance and no other supplemental private insurance

          -  Patients with a catheter type other than a single lumen Hickman®

          -  Patients who are on HPN for less than three months

          -  Pregnant patients

          -  Patients who have previous proven addiction and dependence to alcohol.

          -  Patients lacking capacity to provide consent

          -  Patients who are not be managed by HPN team at investigator's institution
      