Role of Patient Awareness in Prevention of Peripheral Vascular Catheter-Related Bloodstream Infection

McHugh, Seamus; Corrigan, Mark; Dimitrov, Borislav D.; Morris-Downes, M.; Fitzpatrick, Fidelma; Cowman, Seamus; Tierney, Sean; Hill, Arnold D.; Humphreys, Hilary

doi:10.1086/657630

Cited by 26 publications

(21 citation statements)

References 9 publications

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“…Despite expressing discomfort at advocating for their own safety due to a fear that this may impact the care they receive, patients have emphasized the importance of their own involvement in limiting the transmission of infectious microorganisms . This is in line with current recommendations relating to infectious disease in hemodialysis units which state that patient education and involvement are important elements to prevention and control efforts and may result in lower transmission rates …”

Section: Discussionsupporting

confidence: 87%

“…7 This is in line with current recommendations relating to infectious disease in hemodialysis units which state that patient education and involvement are important elements to prevention and control efforts 1,16 and may result in lower transmission rates. 17 The psychosocial impacts of screening, diagnosis and treatment for infectious microorganisms in dialysis units were prominent in the workshop discussion. In particular, the shock, vulnerability and fear associated with diagnosis, and the social isolation and boredom related to being in isolation were noted.…”

Section: Discussionmentioning

confidence: 99%

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Identifying and integrating patient and caregiver perspectives for clinical practice guidelines on the screening and management of infectious microorganisms in hemodialysis units

Miller

Tong

Tunnicliffe

et al. 2016

Hemodialysis International

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Patients and caregivers emphasized the need for guidelines to address patient education and engagement, and the psychosocial implications of communication and provision of care in the context of infectious microorganisms in hemodialysis units. Integrating patient and caregiver perspectives can help to improve the relevance of guidelines to enhance quality of care, patient experiences, and health and psychosocial outcomes.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Identifying and integrating patient and caregiver perspectives for clinical practice guidelines on the screening and management of infectious microorganisms in hemodialysis units

Miller

Tong

Tunnicliffe

et al. 2016

Hemodialysis International

View full text Add to dashboard Cite

show abstract

“…In 2009, a prevalence study in surgical wards in Ireland showed even a higher rate, since 38% of the patients were unaware about the indication of their PIVC. Interestingly, these patients were 7 times more likely to have an inappropriate PIVC [22]. Subsequently, in a retrospective satisfaction survey for the London Ambulance Service 28% of patients stated that they did not know why a PIVC was placed [23].…”

Section: Discussionmentioning

confidence: 99%

Patients knowledge and experience with urinary and peripheral intravenous catheters

2019

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Purpose Inappropriate use of urinary and intravenous catheters is still frequent. The use of catheters is associated with some serious complications, such as health care associated infections (HAIs). An efficient way to reduce HAIs is to avoid inappropriate use of catheters, but the role for patients in quality improvement initiatives is unclear. The aim of this study is to investigate patients knowledge and experience with catheters, to design patient interventions to reduce inappropriate catheter use. Methods We assessed patient's knowledge and experience with catheters using a self report questionnaire, and included patients with a urinary and/or peripheral intravenous catheter (PIVC) during the baseline measurements of a quality improvement project to reduce inappropriate catheters use. Results A total number of 82 patients completed the questionnaire, of which 49 had a urinary catheter and 72 a PIVC. Patients were unaware about the indication for their urinary catheter in 20.9% and PIVC in 19.5%. Nevertheless, 65.3% reported symptoms due to urinary catheters and 37.5% for PIVCs. Interestingly, only 25.5% and 22.4% reported that they would ask their doctor if the catheter could be removed. Conclusions There is a lack of knowledge about the indication for having a urinary and peripheral intravenous catheter in a substantial part of patients. Although catheters cause symptoms, patients in general do not ask if the catheter could be removed. Doctors should give more information and ask more questions about catheters to their patients. Quality improvement initiatives stimulating patients to actively participate in their treatment are needed.

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“…One US study identified that patients who had high levels of participation in care were half as likely to experience an adverse event, compared to those with low participation [ 25 ]. About 40% of patients are unaware why they have a VAD and a similar number have an unnecessary VAD [ 26 ]. Patients’ lack of awareness of the reason for their PIVC has been associated with a 7-fold increase in unnecessary PIVCs [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

et al. 2018

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Peripheral intravascular cannula/catheter (PIVC) insertion is a common invasive procedure, but PIVC failure before the end of therapy is unacceptably high. As PIVC failure disrupts treatment and reinsertion can be distressing for the patient, prevention of PIVC failure is an important patient outcome. Consumer participation in PIVC care to prevent failure is an untapped resource. This study aimed to understand consumers’ PIVC experience; establish aspects of PIVC insertion and care relevant to them; and to compare experiences of adult consumers to adult carers of a child. An international, web-based, cross-sectional survey was distributed via social media inviting adult consumers and adult carers of a child under 18 years who had experienced having a PIVC in the last five years (one survey each for adults and adult carers) to complete a 10-item survey. As such, sampling bias is a limitation and results should be carefully considered in light of this. There were 712 respondents from 25 countries, mainly female (87.1%) and adults (80%). A little over 50% of adults described insertion as moderately painful or worse, with level of insertion difficulty (0–10 scale) identified as moderate (median 4, IQR 1, 7). Adult carers reported significantly more pain during insertion and insertion difficulty (both p < 0.001). Rates of first insertion attempt failure were higher in children compared with adults (89/139 [64%] vs 221/554 [40%]; p < 0.001), and 23% of children required ≥ 4 attempts, compared with 9% of adults (p < 0.0001). Three themes from open-ended question emerged: Significance of safe and consistent PIVC care; Importance of staff training and competence; and Value of communication. The PIVC experience can be painful, stressful and frustrating for consumers. Priorities for clinicians and policy makers should include use of pain relief as standard practice to reduce the pain associated with PIVC insertion and developing strategies to increase first PIVC insertion attempt success particularly for children and older consumers.

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Role of Patient Awareness in Prevention of Peripheral Vascular Catheter-Related Bloodstream Infection

Cited by 26 publications

References 9 publications

Identifying and integrating patient and caregiver perspectives for clinical practice guidelines on the screening and management of infectious microorganisms in hemodialysis units

Identifying and integrating patient and caregiver perspectives for clinical practice guidelines on the screening and management of infectious microorganisms in hemodialysis units

Patients knowledge and experience with urinary and peripheral intravenous catheters

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

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