Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

Rhodes, Deb; Cheng, Allen; McLellan, Susan C; Guerra, Penelope; Karanfilovska, Daniela; Aitchison, Stacey; Watson, Kerrie; Bass, Pauline; Worth, Leon J

doi:10.1016/j.jhin.2016.05.020

Cited by 48 publications

(38 citation statements)

References 18 publications

(10 reference statements)

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“…All included studies reported implementing a PIVC care bundle for insertion (n Z 9) or maintenance (n Z 10), or both (n Z 8) in an acute care hospital inpatient setting. Studies were conducted in a range of countries, including Australia [32,36], USA [25,26,29], UK [27], Spain [30,33], Germany [34], Taiwan [24], South Korea [31], and Thailand [35]. Bundles were implemented for the adult (n Z 10), paediatric (n Z 2), and neonate (n Z 1) populations.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Ray‐Barruel

Marsh

et al. 2019

Infection, Disease & Health

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Background: Evidence-based bundles have reduced central line bloodstream infection rates in adult intensive care units. To tackle peripheral intravenous catheter (PIVC) bloodstream infection, many hospitals have implemented PIVC insertion and maintenance bundles. However, the efficacy of PIVC bundles in preventing PIVC complications and infection in hospital patients is uncertain. The aim of this paper is to synthesize evidence on the effectiveness of PIVC insertion and maintenance bundles on preventing adverse events. Methods: In this systematic review, we searched multiple electronic databases, trial registries, and grey literature for eligible studies published in English (January 2000eDecember 2018) to identify intervention studies evaluating PIVC insertion or maintenance bundles with two or more components. Search terms: peripheral intravenous catheter/cannula, insertion, maintenance, bundle, infection, infiltration, extravasation, dislodgement, thrombosis, occlusion, and phlebitis. Two reviewers independently conducted data extraction and quality assessments using the Downs and Black checklist. Results: Of 14,456 records screened, 13 studies (6 interrupted time-series, 7 before-and-after) were included. Insertion and maintenance bundles included multiple components (2e7 items per bundle). Despite testing different bundles, 12 studies reported reductions in phlebitis and bloodstream infection, and one study reported no change in bloodstream infection and an

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Section: Study Characteristicsmentioning

confidence: 99%

“…Outcome assessors were most often infection control professionals [25,26,30,32,33], nurse researchers [29,31], nurse anaesthetists [24], study coordinating centre staff [28], or not stated [27,34e36]. Blinding of outcome assessors was not reported in any studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Ray‐Barruel

Marsh

et al. 2019

Infection, Disease & Health

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“…Many other areas of practice, such as flushing and blood sampling, are lacking in evidence (Goossens, 2015). Several PIVC maintenance bundles have been tested in clinical practice, and although compliance is often improved, so far, the implementation of PIVC bundles have only resulted in modest improvements in reported patient outcomes (Boyd, Aggarwal, Davey, Logan, & Nathwani, 2011;Caguioa, Pilpil, Greensitt, & Carnan, 2012;Crowell, O'Neil, & Drager, 2017;DeVries, Valentine, & Mancos, 2016;Freixas et al, 2013;Mestre et al, 2013;Rhodes et al, 2016;Sriupayo et al, 2014;Talento et al, 2011). More work needs to be done in this area.…”

Section: While Central Line Insertion Bundles Have Proven Beneficial mentioning

confidence: 99%

Helping nurses help PIVCs: decision aids for daily assessment and maintenance

Ray‐Barruel

Rickard

2018

Br J Nurs

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Improving the safety and quality of health care relies on implementing evidence-based findings into every-day clinical practice. Numerous clinical decision aids have been developed to guide nursing care of the patient with a peripheral intravenous catheter (PIVC), including standards, guidelines, decision frameworks, bundles, policies, procedures, algorithms, pathways, checklists and scoring tools. While all are created with the intention of facilitating the delivery of safe, effective nursing care and improving patient outcomes, there are distinct differences in methodology and design between them, and many are based on expert opinion and historical practice rather than high-quality evidence. This paper reviews the types of decision aids for daily PIVC assessment and management, explores the evidence base underpinning them, and considers the implications for their use in clinical practice. A consistent, systematic and evidence-based approach to PIVC care will provide the optimal environment for achieving quality patient outcomes.

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“…Excepted care bundle interventions, very few studies have been performed to reduce unnecessary insertion or as soon as possible (ASAP) ablation of PVC, most studies focusing on central venous catheters [27]. We innovated with 2 different technologies in an attempt to stop exceeding insertion and allowing an ASAP removal of unnecessary PVCs.…”

Section: Peripheral Venous Catheter Traceabilitymentioning

confidence: 99%

New Approaches to Prevent Healthcare-Associated Infection

Brouqui

Boudjema

Aladro

et al. 2017

Clinical Infectious Diseases

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Healthcare-associated infection (HCAI) in hospitals mainly results from unsolved but well-identified causes such as hand hygiene, overuse of catheters, and to a lesser extent, the airborne transmission of infectious agents caused by the misuse of respiratory precautions. The aims of the Institut Hospitalo-Universitaire Méditerranée Infection are to develop new approaches to fight HCAIs. Among them, new technologies that allow for the traceability of care and good practices reminders have been developed concomitantly to an anthropological approach, facilitating acceptability by healthcare workers. While the automated continuous monitoring system is validated and commercially available, some other technologies are still under clinical evaluation or in the early development phase. Quorum sensing-based biotechnologies are developed with the aims to fight against wound colonization.

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Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

Cited by 48 publications

References 18 publications

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Helping nurses help PIVCs: decision aids for daily assessment and maintenance

New Approaches to Prevent Healthcare-Associated Infection

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