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Routine Replacement versus Clinical Monitoring of Peripheral Intravenous Catheters in a Regional Hospital in the Home Program A Randomized Controlled Trial

  • Patricia Van Donk (a1), Claire M. Rickard (a2) (a3), Matthew R. McGrail (a4) and Glenn Doolan (a5)

Abstract

This randomized, controlled trial involving 316 patients in the home setting found no difference in the rate of phlebitis and/or occlusion among patients for whom a peripheral intravenous catheter was routinely resited at 72-96 hours and those for whom it was replaced only on clinical indication (76.8 events per 1,000 device-days vs 87.3 events per 1,000 device-days; P = .71). There were no bloodstream infections.

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Corresponding author

Latrobe Regional Hospital, Princes Hwy, Traralgon, Victoria 3844, Australia (TVanDonk@lrh.com.au)

References

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1.O'Grady, NP, Alexander, M, Dellinger, EP, et al.Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm Rep 2002;51(RR-10):129.
2.Schultz, AA, Gallant, P. Evidence-based quality improvement project for determining appropriate discontinuation of peripheral IV cannulas. Evid Based Nurs 2005;8:8.
3.Lai, KK. Safety of prolonging peripheral cannula and IV tubing use from 72 to 96 hours. Am J Infect Control 1998;26:6670.
4.Webster, J, Clarke, S, Paterson, D, et al.Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ 2008;337:a339.
5.Webster, J, Lloyd, S, Hopkins, T, Osborne, S, Yaxley, M. Developing a research base for intravenous peripheral cannula resites (DRIP trial): a randomised controlled trial of hospital inpatients. Int J Nurs Stud 2007;44:664671.
6.Maki, DG. Improving the safety of peripheral intravenous catheters: specialized teams could bring greater benefit than routine replacement. BMJ 2008;337:a630.
7.Maki, DG, Ringer, M. Risk factors for infusion-related phlebitis with small peripheral venous catheters. Ann Intern Med 1991;114:845854.
8.Hirschmann, H, Fux, L, Podusel, J, et al; EURIDIKI (European Interdisciplinary Committee for Infection Prophylaxis). The influence of hand hygiene prior to insertion of peripheral venous catheters on the frequency of complications. J Hosp Inject 2001;49:199203.
9.Martinez, JA, Fernandez, P, Rodriguez, E, et al.Intravenous cannulae: complications arising from their use and analysis of predisposing factors. Med Clin (Bare) 1994;103:8993.
10.Kagel, EM, Rayan, GM. Intravenous catheter complications in the hand and forearm. J Trauma 2004;56:123127.

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Routine Replacement versus Clinical Monitoring of Peripheral Intravenous Catheters in a Regional Hospital in the Home Program A Randomized Controlled Trial

  • Patricia Van Donk (a1), Claire M. Rickard (a2) (a3), Matthew R. McGrail (a4) and Glenn Doolan (a5)

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