Incidence Of Catheter Related Infections Caused By Peripheral Iv Catheters

1842 Words Jun 25th, 2015 8 Pages
Abstract
To reduce incidence of catheter-related infections caused by peripheral IV catheters (PIVC), hospitals have adhered to a practice of routine replacement every two to eight days. A review of available research articles suggests instead that reinsertion produced no evidence of reduced IV complications, but did impose repeated invasive procedures and discomfort upon the patients, as well as increased staff workload and hospital equipment costs. Alternatively, the collective research presents a practice of PIVC removal based solely upon clinical indication or medically determined need. In three different randomized controlled trials, each including adult patients 18 years or older, from multiple participating hospitals, the hypothesis that PIVC replacement by indication is of equal benefit to routine replacement was tested. The conclusion of the available research provides evidence supporting a healthcare approach of considering each patient and PIVC individually, versus maintaining a routine replacement policy. In each trial, this approach was found to facilitate improved patient satisfaction and substantially increase healthcare savings.
Keywords: peripheral IV catheter, catheter-related infection, IV replacement In hospitalized adults, how does routine, compared with clinically indicated replacement of peripheral IV catheters affect patients?
A review of controlled trials within the last five years Introduction
Peripheral IV catheter (PIVC) placement is the…
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