Are contaminated flush solutions an overlooked source for catheter-related sepsis?

Worthington, Tony; Tebbs, S. E.; Moss, Helen; Bevan, Vicki; Kilburn, Jeremy; Elliott, T. S. J.

doi:10.1053/jhin.2001.1036

Cited by 13 publications

(6 citation statements)

References 4 publications

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“…Environmental conditions and lapses in aseptic technique may be reasons for these findings. Several studies prove that poor aseptic techniques are used when preparing parenteral fluids [5,9]. The analysis of 493 returned questionnaires mailed to anaesthesiologists randomly selected from the membership of the American Society of Anaesthesiologists showed that only 58% of anaesthesiologists always wash their hands after patient contact, 20% reuse syringes for more than one patient and 34% never or rarely disinfect the septum of MDVs prior to their use [7].…”

Section: Discussionmentioning

confidence: 99%

“…Poor aseptic techniques lead to microbial contamination of MDVs [5][6][7][8][9]. Direct contact of the syringes with ungloved hands of health care workers [5], not disinfecting the septum of MDVs [7,8], reuse of syringes [7], contaminated syringe tips and needles [9] were the lapses found in aseptic technique.…”

Section: Introductionmentioning

confidence: 99%

“…Direct contact of the syringes with ungloved hands of health care workers [5], not disinfecting the septum of MDVs [7,8], reuse of syringes [7], contaminated syringe tips and needles [9] were the lapses found in aseptic technique. Contaminated solutions for parenteral use are also a risk factor in pharmacotherapy.…”

Section: Introductionmentioning

confidence: 99%

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Bacterial contamination of solutions for parenteral administration for single- and multiple-dose vials after multiple use in the hospital

Nogler-Semenitz

Lass‐Flörl

Nogler

et al. 2007

Wien Med Wochenschr

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Outbreaks traced to bacterial contamination of multiple-dose vials are reported in the literature. During a four-month period, multi-dose vials (MDVs), single-dose vials (SDVs), and vials containing self-prepared admixtures were collected from various wards to analyse sterility of their contents. We examined 68 commercially available MDVs containing sodium chloride 0.9% or heparin with added preservative and 17 single dose vials (SDVs) containing aqua ad injectionem or sodium chloride 0.9% and 11 vials with admixtures (ADX) of heparin and sodium chloride 0.9%, both without preservative. Four of 96 (4.17%) vials were not sterile: two of them were contaminated with spore-forming bacteria, two with coagulase negative Staphylococci. Three of the samples were MDVs containing a preservative. The date of the first use was not marked on 28% of the vials. Twenty-eight samples were multiply used, although they were SDVs or ADXs without preservative or without an adequate amount of preservative, respectively. In 15 of 68 MDVs, the time limit after the first use was exceeded. On average, the volume of the samples was 80% of the original volume. A proportion of 4% of vials was not sterile. A training programme for health care workers in aseptic techniques and for validation of the preparation of solutions for parenteral use should be installed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bacterial contamination of solutions for parenteral administration for single- and multiple-dose vials after multiple use in the hospital

Nogler-Semenitz

Lass‐Flörl

Nogler

et al. 2007

Wien Med Wochenschr

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“…An investigation of a large group of nurses, conducted by Polish Epidemiological Nurses Association shows that during the procedure of flushing the venous catheter, some 44% of nurses did not adhere to any aseptic procedures, 33% wore protective gloves and 23% washed their hands [11,12]. The study by Worthington reveals that no single nurse did flush the ampoule containing a 0.9 NaCl solution, prior to opening it and filling the single-use syringe with it [13].…”

Section: Discussionmentioning

confidence: 99%

Nurse care quality and hospital-acquired infections: adhering to aseptic techniques

Dziewa¹,

Ksykiewicz-Dorota

Kos

et al. 2015

Polish Journal of Public Health

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Introduction. The quality of medical services can be regarded as an indication of the changes being implemented at a given moment. At the same time, improving the care quality remains essential, regardless of the current situation. This makes upgrading employees’ skills a necessity, for instance by preventing undesired events, like hospital acquired infections which are quite common. Aim. The aim of this study was to measure the quality of nursing care delivered to patients who contracted a hospital-acquired disease, with special attention paid to the adherence by aseptic procedures. Material and methods. The authors of this research study want to assess the quality of nursing care, looking through the lens of adherence by aseptic techniques. Results. The study was conducted in hospitals of three different referral levels. Both the highest (=95.7%) and the lowest (=84.7%) rates in the field of quality of nursing care were reported in provincial hospitals. Conclusion. 1. There is a 10% deficit in terms of adherence to aseptic procedures. 2. Constant supervision and upgrading nursing staff skills is essential.

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“…Worthington et al [2001] asked 100 nurses to prepare normal saline infusions -the results: 8% contaminated after carrying out the task. Worthington et al [2001] asked 100 nurses to prepare normal saline infusions -the results: 8% contaminated after carrying out the task.…”

Section: Colonisation Of Cathetersmentioning

confidence: 99%

Mechanisms to Prevent Infection: Invasive Monitoring

Burton

2005

British Journal of Anaesthetic and Recovery Nursing

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Intravenous therapy is an essential part of clinical care used in a wide variety of healthcare settings. Thus, intravenous catheters have become indispensable to clinical practice. However, catheter related infections are a major source of morbidity and mortality with rates as high as 10% to 20%. Current guidance recommends a number of strategies to reduce the incidence of catheter-related infections. These include skin preparation, avoiding glove contamination when handling and inserting catheters and the choice of material used.Strategies to prevent infection need to change and develop to reflect the advances in technology and delivery of healthcare.

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Are contaminated flush solutions an overlooked source for catheter-related sepsis?

Cited by 13 publications

References 4 publications

Bacterial contamination of solutions for parenteral administration for single- and multiple-dose vials after multiple use in the hospital

Bacterial contamination of solutions for parenteral administration for single- and multiple-dose vials after multiple use in the hospital

Nurse care quality and hospital-acquired infections: adhering to aseptic techniques

Mechanisms to Prevent Infection: Invasive Monitoring

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