Chlorhexidine sensitivity in staphylococci isolated from patients with CLABSI
We observed no significant changes in chlorhexidine minimum inhibitory and bactericidal concentrations, or in the prevalence of resistance-associated genes before and after introduction of 2% chlorhexidine tincture. Thus, there was no evidence of increased resistance to chlorhexidine in staphylococci causing central line-associated bloodstream infections” Jun et al 92019). Summary: Since 2011, 2% chlorhexidine in 70% […]
Central venous access devices in pediatric oncology patients
Implantation of CVADs seems to be safe and reliable in this large pediatric patient cohort. Even if complications occur in the long-term management of CVADs, they can be treated successfully and long-term catheter survival rates are excellent” Beck et al 92019). Abstract: Background: Central venous access devices (CVAD) provide important benefits in the management of […]
Factors influencing the adherence of nurses to standard precautions
Standard precautions (SPs) serve as the first line of defense against exposure to blood and body fluids. The objective of this study was to explore the adherence of nurses to SPs and to identify factors influencing adherence to SPs” Oh and Choi (2019). Abstract: Background: Standard precautions (SPs) serve as the first line of defense […]
Patients’ estimated blood losses from diagnostic phlebotomy
The objectives were to characterize the daily blood volumes drawn for diagnostic testing from patients discharged from a Canadian tertiary care center, describe the daily distributions of phlebotomy volumes across service locations, and describe changes in hemoglobin (Hb) and transfusion across service locations” Quinn et al (2019). Abstract: BACKGROUND: Phlebotomy for diagnostic testing is among […]
Prediction of right internal jugular vein central catheter length
The appropriate depth of right internal jugular venous (RIJV) catheterization is still under debated. In this study, transesophageal echocardiography (TEE) is used to develop a prediction formula for fixed RIJV catheter depth” Ju et al (2019). Abstract: PURPOSE: The appropriate depth of right internal jugular venous (RIJV) catheterization is still under debated. In this study, […]
Failures of midline catheters in a hospital in the home program
Women experienced higher rates of midline catheter failure than men. The proportion of patients with midline catheters receiving continuous infusions who experienced a failure was markedly higher than those receiving bolus doses” Dickson et al (2019). Abstract: A cluster of 11 midline catheter failures occurred during a 2-week period in a Hospital in the Home […]
MDT associated hospital-wide reduction in CLABSI
Few data are available on hospital-wide incidence of central line-associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China” Han et al 92019). Abstract: BACKGROUND: Few data are available on hospital-wide incidence of central line-associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China, where many systemic […]
Parenteral nutrition administration by critical care nurses in Iran
In Iran, nurses are responsible for administering parenteral nutrition (PN) to hospitalized patients in intensive care units (ICUs). However, little information is available among nurses in Iran regarding best practices in PN administration” Taherkhani et al 92019).[epub ahead of print]. Abstract: In Iran, nurses are responsible for administering parenteral nutrition (PN) to hospitalized patients in […]
Gloved hand disinfection improved hand hygiene
The aim of this study was to improve hand hygiene compliance by implementing gloved hand disinfection as a resource-neutral process optimization strategy” Fehlinga et al (2019). Summary: Background: Hand hygiene compliance even before infection prone procedures (indication 2, “before aseptic tasks”, according to WHO) remains disappointing. The aim of this study was to improve hand […]
Cost-effectiveness of different short peripheral catheters
Low-cost, domestic short peripheral catheters (SPCs) and higher-priced, imported SPCs were compared in 2 different time periods” Dizbay et al (2019). Abstract: This prospective study has been designed with the hypothesis that low unit price does not necessarily mean cost-effectiveness. Low-cost, domestic short peripheral catheters (SPCs) and higher-priced, imported SPCs were compared in 2 different […]
Sequential pneumatic compression for PICC UEDVT prevention
Sequential compression devices (SCDs) applied to the legs effectively reduce lower extremity DVT, but have not been tested in the arms. Our objective was to determine whether SCDs applied to the arm may reduce the risk of PICC-associated UE DVT” Rabinstein et al (2019). Abstract: BACKGROUND: Peripherally inserted central venous catheters (PICCs) are increasingly used […]
Best practices to decrease infusion-associated medication errors
The multifaceted nature of administering medications via infusions was highlighted. Opportunities for improvements include best practices such as developing learning cultures and reinforcing the independent double-check process on medications” Wolf and Hughes (2019). Abstract: Infusion-associated medication errors have the potential to cause the greatest patient harm. A 21-year review of errors and near-miss reports from […]
Performance of differential time to positivity as a CLABSI diagnostic test
To assess the performance of differential time to positivity (DTP) for the diagnosis of catheter-related bloodstream infections (CRBSI)” Orihuela-Martín et al (2019). Abstract: OBJECTIVE: To assess the performance of differential time to positivity (DTP) for the diagnosis of catheter-related bloodstream infections (CRBSI). METHODS: From all episodes of bloodstream infections (BSI) diagnosed during a 15-year period […]
Leveraging the electronic medical record for central line day surveillance
We describe the development of a process for an electronic count of central line days across our ten-hospital health care system” Burke et al (2019). Abstract: Manual counting is considered the gold standard for device day recording by the National Health Safety Network. We describe the development of a process for an electronic count of […]
Preventive risk analysis in the maintenance of patency of PICC
“This theoretical and reflexive study analyzed the risks related to the maintenance of patency of the Peripherally Inserted Central Catheter with the use of saline solution in comparison with saline-filled syringes, through the application of the Healthcare Failure Mode and Effect Analysis – HFMEA” Lima et al (2019).
Bronchial erosion and migration of implantable port
Imaging studies showed the tip of the catheter to be crossing the superior mediastinum into the upper lobe of the right lung” Mohamad et al (2019). Abstract: INTRODUCTION: Several possible complications are known to be related to central venous catheters. PRESENTATION OF CASE: A 20-year-old lady had a catheter (Port-a-Cath) inserted in the left subclavian […]
Literature review from selected topics in transfusion
The AABB compiles an annual synopsis of the published literature covering important developments in the field of transfusion medicine. An abridged version of this work is being made available in TRANSFUSION, with the full-length report available as Appendix S1 (available as supporting information in the online version of this paper)” Cohn et al (2019). Abstract: […]
85% of hemodialysis patients have suspected CRBSI confirmed
CRBSI is confirmed in 85% of catheter-dependent hemodialysis patients in whom it is suspected” Farrington and Allon (2019). Abstract: BACKGROUND: Catheter-related bloodstream infections -(CRBSI) are associated with a high burden of morbidity and mortality, but the impact of infecting organism on clinical outcomes has been poorly studied. METHODS: This retrospective analysis of a prospective vascular […]
Successful management of a Bacillus cereus CRBSI outbreak
We report an outbreak of B. cereus catheter-related bloodstream infection (CRBSI) in the pediatric ward and aim at identifying risk factors and effective infection control measures for the outbreak” Yamada et al (2019). Abstract: Bacillus cereus can spread easily in various environments and can contaminate medical environments, such as ventilator equipment, intravascular catheters, and linen. […]
Apixaban for management of upper extremity deep vein thrombosis
We anticipate that the prospective administration of apixaban for clinically symptomatic UEDVT will be associated with a rate of recurrent VTE that is acceptable when compared with the historical controls reported in the literature, and a favorable safety profile analogous to that seen in former studies of apixaban” Woller et al (2019). Extract: ARM‐DVT will […]
Reduction of exposure to plasticizers in stored red blood cell units
The aim of the study was to assess the concentration of plasticizers in red blood cell units according to storage time and after mechanical rinsing using a cell salvage device” Münch et al (2019). Abstract: INTRODUCTION: Plastic can be toxic and hazardous to an organism’s health, but it is being widely used in our daily […]
PICC associated chronic thromboembolic pulmonary hypertension
This was the first case of CTEPH reported related to long-term PICC use outside the setting of malignant disease” Masding et al (2019). Abstract: A 36-year-old woman presented with recurrent pulmonary emboli (PE) despite oral anticoagulation. She was a type I diabetic with severe gastroparesis requiring insertion of multiple long-term peripherally inserted central catheters (PICC) […]
The use of atypical analgesics by intravenous infusion
This review will focus on three drugs commonly infused as intravenous co-analgesics” Hutchins and Rockett (2019). Abstract: Atypical analgesics include antiepileptics and other membrane stabilizers (lidocaine and mexilitine), antidepressants, alpha-2-noradrenergic agonists, N-methyl-d-aspartate (NMDA) antagonists, corticosteroids and cannabinoids. This review will focus on three drugs commonly infused as intravenous co-analgesics. We will review the theoretical mechanisms […]
Hospital-wide reduction in central line–associated bloodstream infections
Few data are available on hospital-wide incidence of central line–associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China, where many systemic obstacles holding back evidence-based guidelines implementation exist” Han et al (2019). Abstract: Background: Few data are available on hospital-wide incidence of central line–associated bloodstream infection (CLABSI) rates in patients […]
Impact of Vascular Access Team implementation
“Central line-associated bloodstream infections (CLABSIs) account for one-third of all hospital-acquired infections and can cost the health care system between $21,000 and $100,000 per infection” Savage et al (2019).
Evaluation of a tool to score donor vein suitability for blood donation
A specific blood donation vein scoring tool was assessed to measure donor vein suitability for whole blood collection and investigate the correlation of the donor’s veins with donation outcomes” Hirani et al (2019). Abstract: BACKGROUND AND OBJECTIVES: Phlebotomy is a central task for whole blood donation, yet there are no published standards regarding systematic donor […]
Utilization of a central venous catheter insertion care bundle
By implementing the CVC care bundle in clinical practice in accordance with national policies, medical utilization decreased, thereby considerably improving medical resource usage” Chung et al (2019). Abstract: OBJECTIVES: The objectives of this study are to explore medical care utilization associated with promoting the central venous catheter (CVC) care bundle plan using Taiwan’s National Health […]
Current practice in dialysis central venous catheter management
To explore the current practices related to the insertion, management and removal of dialysis central venous catheters used in patients with chronic kidney disease requiring haemodialysis” Craswell et al (2019). Abstract: AIM: To explore the current practices related to the insertion, management and removal of dialysis central venous catheters used in patients with chronic kidney […]
Point-of-care analyses of blood samples from intraosseous access
When vascular access is challenging, IO access can be used for emergency POC analyses to help guide clinical decision-making. However, the limitations of IO POC analyses must be carefully considered” Jousi et al (2019). Abstract: BACKGROUND: Intraosseous (IO) access is used for fluid and medication administration in emergency situations when difficulties with vascular access are […]
Cost-effectiveness of infusion pumps to reduce errors in a Pediatric ICU
To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps with drug library to reduce errors in intravenous drug administration in pediatric and neonatal patients in Intensive Care Units” Silva et al (2019). Abstract: OBJECTIVE: To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps […]