Dataset Information

Best practice in the use of peripheral venous catheters: A scoping review and expert consensus.

ABSTRACT:

Background

Peripheral intravenous catheters (PIVCs) are the most commonly used invasive medical device in health care with an overall failure rate of 35-50%. Most complications are non-infectious, but local site and bloodstream infections can also occur. Even if PIVC-related infections are rare, the total number of affected patients and the preponderance of Staphylococcus aureus as related pathogen due to the frequent use of these devices are relevant arguments to implement preventive strategies. The aim of this document is to raise awareness that infections caused by PIVCs are a relevant problem that can be reduced by practice change.

Methods

A panel of experts discussed this topic based on evidence and proposed practice points by consensus.

Discussion

Despite published evidence-based guidelines, current practice concerning aseptic techniques during insertion and care of PIVCs often are substandard. These devices have become commonplace and tend to be perceived as safe. An overall lack of awareness about the true risks associated with the use of PIVCs results in limited surveillance and prevention efforts.

Conclusion

Successful insertion and maintenance bundles in central venous lines are a blueprint to the implementation of adapted bundle strategies in the prevention of PIVC-associated infections. There is a need for studies to specifically investigate infection prevention in PIVCs and to agree on effective and implementable bundles.

SUBMITTER: Zingg W

PROVIDER: S-EPMC9995289 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

Best practice in the use of peripheral venous catheters: A scoping review and expert consensus.

Zingg Walter W Barton Andrew A Bitmead James J Eggimann Philippe P Pujol Miquel M Simon Arne A Tatzel Johannes J

Infection prevention in practice 20230203 2

<h4>Background</h4>Peripheral intravenous catheters (PIVCs) are the most commonly used invasive medical device in health care with an overall failure rate of 35-50%. Most complications are non-infectious, but local site and bloodstream infections can also occur. Even if PIVC-related infections are rare, the total number of affected patients and the preponderance of <i>Staphylococcus aureus</i> as related pathogen due to the frequent use of these devices are relevant arguments to implement preven ...[more]

PMID: 36910422

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Project description:IntroductionThe peripheral vascular catheter (PVC) is the most common intravenous medical device used in hospitals, given it is crucial for the delivery of intravenous therapies. Despite its widespread use, PVC complications such as occlusion, infiltration, extravasation, phlebitis, thrombophlebitis, catheter-related thrombosis and catheter-related bloodstream infection significantly affect patient safety, leading to increased morbidity and healthcare costs. One approach to maintain PVC patency and therefore device longevity is to flush the PVC. This usually involves the use of 5 to 10 mL syringes with normal saline. The evidence on PVC flushing practices is dispersed, making it difficult to draw clear conclusions about current practices and clinical implications. A scoping review is needed to explore and synthesise this evidence systematically and to systematically map the existing research on PVC flushing by assessing the scope, methodologies and outcomes of existing studies.Methods and analysisThe review will adhere to the Joanna Briggs Institute (JBI) methodology, using a three-phase search strategy as recommended by JBI and covering the full-time range available in each database. Systematic searches will be conducted across Embase, Web of Science, PubMed, Scopus, and CINAHL; clinical trial registries; and grey literature sources to identify potentially eligible studies published up to May 2024. Following duplicate removal, 3021 records will remain for screening. Two independent reviewers will screen the records and extract data based on the review questions. The reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews, with the results and discussion structured according to the Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework.Ethics and disseminationEthics approval is not required for this study. The findings will be shared through professional networks, presented at conferences and published in a scientific journal.

Dataset Information

Best practice in the use of peripheral venous catheters: A scoping review and expert consensus.

Background

Methods

Discussion

Conclusion

Publications

Best practice in the use of peripheral venous catheters: A scoping review and expert consensus.

Similar Datasets

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