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Routine Replacement versus Clinical Monitoring of Peripheral Intravenous Catheters in a Regional Hospital in the Home Program A Randomized Controlled Trial

Published online by Cambridge University Press:  02 January 2015

Patricia Van Donk*
Affiliation:
Latrobe Regional Hospital, Traralgon, Monash University, Gippsland Campus, Victoria
Claire M. Rickard
Affiliation:
Research Centre for Clinical and Community Practice Innovation, Griffith University, Nathan, Queensland, Australia School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia
Matthew R. McGrail
Affiliation:
School of Rural Health, Monash University, Gippsland Campus, Victoria
Glenn Doolan
Affiliation:
Department of Medicine, Nursing, and Health Sciences, Monash University, Gippsland Campus, Victoria
*
Latrobe Regional Hospital, Princes Hwy, Traralgon, Victoria 3844, Australia (TVanDonk@lrh.com.au)

Abstract

This randomized, controlled trial involving 316 patients in the home setting found no difference in the rate of phlebitis and/or occlusion among patients for whom a peripheral intravenous catheter was routinely resited at 72-96 hours and those for whom it was replaced only on clinical indication (76.8 events per 1,000 device-days vs 87.3 events per 1,000 device-days; P = .71). There were no bloodstream infections.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.O'Grady, NP, Alexander, M, Dellinger, EP, et al.Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm Rep 2002;51(RR-10):129.Google Scholar
2.Schultz, AA, Gallant, P. Evidence-based quality improvement project for determining appropriate discontinuation of peripheral IV cannulas. Evid Based Nurs 2005;8:8.Google Scholar
3.Lai, KK. Safety of prolonging peripheral cannula and IV tubing use from 72 to 96 hours. Am J Infect Control 1998;26:6670.CrossRefGoogle ScholarPubMed
4.Webster, J, Clarke, S, Paterson, D, et al.Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ 2008;337:a339.Google Scholar
5.Webster, J, Lloyd, S, Hopkins, T, Osborne, S, Yaxley, M. Developing a research base for intravenous peripheral cannula resites (DRIP trial): a randomised controlled trial of hospital inpatients. Int J Nurs Stud 2007;44:664671.Google Scholar
6.Maki, DG. Improving the safety of peripheral intravenous catheters: specialized teams could bring greater benefit than routine replacement. BMJ 2008;337:a630.Google Scholar
7.Maki, DG, Ringer, M. Risk factors for infusion-related phlebitis with small peripheral venous catheters. Ann Intern Med 1991;114:845854.Google Scholar
8.Hirschmann, H, Fux, L, Podusel, J, et al; EURIDIKI (European Interdisciplinary Committee for Infection Prophylaxis). The influence of hand hygiene prior to insertion of peripheral venous catheters on the frequency of complications. J Hosp Inject 2001;49:199203.Google Scholar
9.Martinez, JA, Fernandez, P, Rodriguez, E, et al.Intravenous cannulae: complications arising from their use and analysis of predisposing factors. Med Clin (Bare) 1994;103:8993.Google ScholarPubMed
10.Kagel, EM, Rayan, GM. Intravenous catheter complications in the hand and forearm. J Trauma 2004;56:123127.Google Scholar