Prospective evaluation of peripherally inserted central catheter complications in both inpatient and outpatient settings

Liscynesky, Christina; Johnston, Jessica; Haydocy, Kelci E.; Stevenson, Kurt B.

doi:10.1016/j.ajic.2017.02.006

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…This is unlikely to have resulted in additional complications, however, as improved CVAD-related outcomes using this model are previously demonstrated both within our institution (HR 0.73; 95%CI 0.59-0.89) (14), and others (1,6,15). Overall, CRBSI was exceedingly rare equating to one event per 7.8 observed patient years, with a lower IR compared to other outpatient settings (12,13). Mechanical complications accounted for almost half of total CVAD-related complications, consistent with previously demonstrated outpatient CVAD complication rates (13,16,17).…”

Section: J O U R N a L P R E -P R O O Fsupporting

confidence: 48%

“…Overall, CVAD-related AEs accounted for 23% of major and 70.1% of minor AEs. While the IR of 19.1 per 1,000 catheter-days is higher than previous studies (12,13), prospective study design and the broader inclusion of minor complications such as pain (11.6%) and bleeding around the exit site (16.8%) likely account for this. Self-administration practices were used in roughly half of admissions.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 66%

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Safety of prolonged outpatient courses of intravenous antibiotics: a prospective cohort study

Browning

Loewenthal

Freelander

et al. 2022

Clinical Microbiology and Infection

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Section: J O U R N a L P R E -P R O O Fsupporting

confidence: 48%

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 66%

Safety of prolonged outpatient courses of intravenous antibiotics: a prospective cohort study

Browning

Loewenthal

Freelander

et al. 2022

Clinical Microbiology and Infection

View full text Add to dashboard Cite

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“…This study only considered the final positioning of the catheter tip after any repositioning maneuvers (when necessary). As for infection, Liscynesky et al 25 reported that 5% of PICCs were removed because of this complication. These authors also reported that 4% of PICCs were unnecessarily removed because of suspected infection, confirmed by negative blood cultures.…”

Section: Discussionmentioning

confidence: 99%

Peripherally Inserted Central Catheters in Orthopedic Patients: Experience From 1023 Procedures

et al. 2018

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Objectives The advantages of using a peripherally inserted central catheter (PICC) in hospitalized patients make this device very important for intravenous therapy. This study describes the use of PICCs at the Institute of Orthopedics and Traumatology at the Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo over the last 10 years.Methods This retrospective study analyzed 1,057 medical records and included 1,023 medical files with complete information on the punctured vein, diagnosis, duration of catheterization, complications, and catheter tip positioning.Results Seven hundred and twenty PICCs (70.4%) were considered successfully positioned, and mean duration of catheterization was 34.3 days. The basilic vein was used in 528 (51.6%) patients, while 157 (15.4%) catheters were removed due to complications. No cases of catheter-related thrombosis or infection were found. Eight hundred and sixty-six (84.6%) patients completed their treatment with PICC in place.Conclusion PICC is a safe intravenous device that can be successfully utilized for medium- and long-course intravenous therapy in hospitalized and discharged orthopedic patients. Level of Evidence IV; Case series.

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“…Com base nas categorias identificadas, pô- A cultura brasileira tem o hábito do banho de aspersão diário. Estudo de coorte americano, que acompanhou pacientes internados ou não até a retirada do PICC ou óbito para as complicações, observou, quando possível, as práticas de higiene e verificou que desses pacientes 27% realizavam banho de aspersão com cobertura do PICC e 21% se higienizavam com esponja, esta prática não esteve associada ao risco de infecção ou TVP (11) . Outro estudo qualitativo espanhol com uso domiciliar de PICC em pacientes com câncer mostrou entre seus relatos que um dos pacientes trocou o hábito do banho de aspersão diário para realizá-lo com menos frequência (12) .…”

Section: Discussionunclassified

Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial

Biaggio Mota,

Moura Mesquita,

Turrini

2023

Rev. Baiana Enferm.

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Objetivo: analisar a percepção de pacientes e enfermeiras quanto ao uso do Cateter Central de Inserção Periférica (PICC) na assistência ambulatorial. Método: estudo exploratório de abordagem qualitativa, baseado no modelo de adaptação de Callista Roy, a partir de entrevistas realizadas em hospital público de ensino em cardiologia localizado em São Paulo, Brasil, com pacientes em uso de PICC e enfermeiras. Resultados: após transcrição das entrevistas, realizou-se a análise de conteúdo e construíram-se as categorias temáticas de cuidado no cotidiano; riscos a funcionalidade e permanência do cateter; longitudinalidade do cuidado para enfermeiras; alívio de dor do paciente; repercussões do uso prolongado do cateter. Considerações finais: a durabilidade do cateter depende da valorização do cuidado e orientações fornecidas aos pacientes e enfermeiros dos serviços de contra referência. Os relatos obtidos quanto à adaptação ao uso extra-hospitalar do PICC permitirão rever estratégias conjuntas de monitoramento e manejo.

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Prospective evaluation of peripherally inserted central catheter complications in both inpatient and outpatient settings

Cited by 6 publications

References 8 publications

Safety of prolonged outpatient courses of intravenous antibiotics: a prospective cohort study

Safety of prolonged outpatient courses of intravenous antibiotics: a prospective cohort study

Peripherally Inserted Central Catheters in Orthopedic Patients: Experience From 1023 Procedures

Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial

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