Timing of Intravenous Administration Set Changes: A Systematic Review

Gillies, Donna; O'riordan, L; Wallen, Margaret; Rankin, Karen; Morrison, Anne; Nagy, Sue

doi:10.1086/502385

Cited by 36 publications

(23 citation statements)

References 19 publications

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“…Replacing administration sets no more frequently than 72 hours after initiation of use is safe and cost-effective [42]. Because blood, blood products, and lipid emulsions (including parenteral nutrition and propofol) have been identified as independent risk factors for catheter-related infection [43], tubing used to administer these products should be replaced within 24 hours or immediately after the end of administration.…”

Section: Venous Line Maintenancementioning

confidence: 99%

Prevention of central venous catheter-related infection in the intensive care unit

2010

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Section: Venous Line Maintenancementioning

confidence: 99%

Prevention of central venous catheter-related infection in the intensive care unit

2010

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“…However, tubing replacement only every 4 days, instead of every 2 days, did not increase the rate of CR-BSI [45]. Nevertheless, tubings used to administer blood, blood products, or lipid emulsions (including propofol infusions) should be replaced within 24 hours [46].…”

Section: Introductionmentioning

confidence: 99%

New materials and devices for preventing catheter-related infections

Timsit

Dubois

Minet

et al. 2011

Ann. Intensive Care

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Catheters are the leading source of bloodstream infections for patients in the intensive care unit (ICU). Comprehensive unit-based programs have proven to be effective in decreasing catheter-related bloodstream infections (CR-BSIs). ICU rates of CR-BSI higher than 2 per 1,000 catheter-days are no longer acceptable. The locally adapted list of preventive measures should include skin antisepsis with an alcoholic preparation, maximal barrier precautions, a strict catheter maintenance policy, and removal of unnecessary catheters. The development of new technologies capable of further decreasing the now low CR-BSI rate is a major challenge. Recently, new materials that decrease the risk of skin-to-vein bacterial migration, such as new antiseptic dressings, were extensively tested. Antimicrobial-coated catheters can prevent CR-BSI but have a theoretical risk of selecting resistant bacteria. An antimicrobial or antiseptic lock may prevent bacterial migration from the hub to the bloodstream. This review discusses the available knowledge about these new technologies.

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“…The risk of catheter-related infection correlates with the patient's age, weight, underlying diseases, immune system status and type of fluid injection (15,16). Several preventive techniques have been shown, which can reduce the incidence of infections including: adequate knowledge, insertion and keeping of catheter only in necessary situations, hygiene, use of appropriate solutions (alcoholicchlorhexidine) for skin disinfection, care protocol implementation, CVC insertion under ultrasound guidance, preference of subclavian line instead of other sites, change of dressings (no more than seven days), and avoiding antibiotic prophylaxis (1,(17)(18)(19)(20). The most important principle of prevention is personnel training for catheter care and observing the principles of sterilization (15,21).…”

Section: Discussionmentioning

confidence: 99%

Incidence of Central Venous Catheter-Related Infection and Risk Factors in Critically Ill Post-Operative Cancer Patients: A Randomized Prospective Cohort Study

Beigmohammadi

2015

Arch Crit Care Med

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Background: Cancer patients are susceptive to infection. Catheter-related bloodstream infections are the first cause of nosocomial bloodstream infections in intensive care units. Objectives: The aim of this study was to evaluate the association between the type of central intravenous catheter and bloodstream infection in post-operative cancer surgery patients at surgery intensive care units (ICU). Methods: In a randomized, non-blind study, 66 cancer surgery patients were studied. The primary aim was rate of central venous catheter-related infection by type of catheter. The patients were enrolled in three groups: simple catheter (n = 23) (without antimicrobial), impregnated catheter in the internal part (n = 28), and AGB + catheter (n = 15) (impregnated catheter in external and internal part); all catheters were triple lumen, polyurethane (arrow, chlorhexidine and silver sulfadiazine, USA). Insertion of catheters was done in full sterile conditions based on the center for disease control (CDC) guidelines for the prevention of intravascular catheterrelated infection. Catheter related infection was confirmed by positive blood culture of blood samples of central catheter. The chi square or Fisher's exact test was used to compare base values and difference in rate of colonization and bloodstream catheter-related infection. A P value of less than 0.05 was considered statistically significant. Results: Sixty-six patients participated in this study in three groups. There was no significant difference regarding the baseline demographic and clinical characteristics of patients between groups (P > 0.05). Distributions of surgery types were statistically the same in the three groups (P = 0.323). Impregnated catheters had no significant effect on colonization (P = 0.565) or bloodstream infection prevention (P = 0.490). Conclusions: Compared to standard catheters, impregnated catheters had no effect on colonization or bloodstream infection prevention.

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Timing of Intravenous Administration Set Changes: A Systematic Review

Cited by 36 publications

References 19 publications

Prevention of central venous catheter-related infection in the intensive care unit

Prevention of central venous catheter-related infection in the intensive care unit

New materials and devices for preventing catheter-related infections

Incidence of Central Venous Catheter-Related Infection and Risk Factors in Critically Ill Post-Operative Cancer Patients: A Randomized Prospective Cohort Study

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