Closed system drug-transfer device use in antineoplastic hazardous drugs
Results of a study to evaluate the effectiveness of a recently introduced closed system drug-transfer device (CSTD) in reducing surface contamination during compounding and simulated administration of antineoplastic hazardous drugs (AHDs) are reported” Bartel et al (2018). Abstract: Purpose: Results of a study to evaluate the effectiveness of a recently introduced closed system drug-transfer device […]
Cuffed-tunnelled central venous catheter insertion in pediatric patients
To summarize the characteristics of cuffed-tunneled catheters insertion and investigate the values of cuffed-tunneled catheters in pediatric patients” Wang et al (2018). Abstract: Objective: To summarize the characteristics of cuffed-tunneled catheters insertion and investigate the values of cuffed-tunneled catheters in pediatric patients. Methods: Between March 2015 and July 2017, all the pediatric patients who received […]
Relationship between arterial and central venous blood gas values
The most straightforward method of ascertaining arterial PO2, PCO2, and other components of blood gas is to measure them directly from a blood sample. In situations in which arterial puncture cannot be achieved or may be technically difficult, the venous blood sample can be used” Valizad Hassanloei et al (2018). Abstract: BACKGROUND: The most straightforward […]
Easy IJ an alternative IV for patients with difficult vascular access
The peripheral internal jugular (IJ), also called the “easy IJ,” is an alternative to peripheral venous access reserved for patients with difficult intravenous (IV) access” Zitek et al (2018). Abstract: INTRODUCTION: The peripheral internal jugular (IJ), also called the “easy IJ,” is an alternative to peripheral venous access reserved for patients with difficult intravenous (IV) […]
Compliance central line associated bloodstream infection prevention guidelines
The purposes of this study were to (1) assess compliance with the CLABSI prevention guidelines, (2) assess the predictors of compliance, and (3) investigate the effect of compliance on the rate of CLABSI and related mortality” Aloush et al (2018). Abstract: AIMS: The purposes of this study were to (1) assess compliance with the CLABSI […]
Taurolidine-citrate line locks prevent recurrent CLABSI
Taurolidine-Citrate locks significantly reduced the rate of CLABSI, particularly Gram negative organisms without adverse events” Clark et al (2018). Abstract: This study describes a successful, targeted intervention in central venous access device routine care, to decrease central line associated bloodstream infection (CLABSI). Taurolidine-Citrate locks significantly reduced the rate of CLABSI, particularly Gram negative organisms without […]
What is clinician comprehension of central-line associated bloodstream infection?
We present the first psychometric evaluation of a preliminary scale that assesses clinician comprehension of CLABSI quality metric data” Govindan et al (2018). Abstract: BACKGROUND: Central line-associated bloodstream infections (CLABSI) are associated with significant morbidity and mortality. This condition is therefore the focus of quality initiatives, which primarily use audit and feedback to improve performance. […]
CLABSI rates associated with hemodialysis patients
Our goal was to compare relative bloodstream infection rates of patients with and without catheters as a quality parameter among the facilities providing hemodialysis” Brown et al (2018). Abstract: BACKGROUND AND OBJECTIVES: Bloodstream infection rates of patients on hemodialysis with catheters are greater than with other vascular accesses and are an important quality measure. Our […]
CLABSI prevention best practice bundles improved over time
A national survey conducted in 2012 revealed that the rates of regular use of many evidence-based practices to prevent device-associated infections were low in Japanese hospitals. We conducted a second survey 4 years later to evaluate changes in infection prevention practices” Sakamoto et al (2018). Abstract: BACKGROUND: A national survey conducted in 2012 revealed that […]
Effect of serum vancomycin concentration on hemodialysis patient morbidity and mortality
The primary objective of this study was to determine if vancomycin serum concentrations were associated with positive outcomes in HD patients with Gram-positive bacteremia” Rambaran et al (2018). Abstract: Vascular access infection is one of the major contributors to hemodialysis (HD) patient morbidity and mortality. There is a paucity of consensus guidelines on vancomycin use […]
Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals
Needlestick and sharps injuries (NSIs) are critical occupational risk among health care workers (HCWs), which is extremely worrying due to the potential risk of transmitting bloodborn pathogens (BBPs). This study was carried out to evaluate the prevalence of NSIs among Iranian HCWs” Ghanei Gheshlagh et al (2018). Abstract: BACKGROUND: Needlestick and sharps injuries (NSIs) are […]
PICC complications that occur from insertion to withdrawal
PICC, effective device for central venous access due to the minimal incidence of risks in implantation and to its advantages with regard to the classic central venous catheters, is a further nursing technique” Lacostena-Pérez et al (2018). Abstract: OBJECTIVE: To evaluate the rates and nature of the complications related to the Central Peripheral Access Catheter […]
Peripheral intravenous catheter insertion difficulty and registered nurse performance
To describe the characteristics, problems, and interventions associated with performing peripheral intravenous catheterisation (PIVC) in difficult situations when registered nurses (RNs) need support from critical care nurses (CCNs)” Engström and Forsberg (2018). Abstract: OBJECTIVES: To describe the characteristics, problems, and interventions associated with performing peripheral intravenous catheterisation (PIVC) in difficult situations when registered nurses (RNs) […]
Elective replacement of intravenous cannula in neonates-a randomised trial
The reported incidence of extravasation injury is as high as 70% in the neonatal and paediatric population and has an association with cannula dwell time” Chin et al (2018). Abstract: Peripheral intravenous cannula (PIVC) insertion is one of the most common invasive procedures performed in neonates and is frequently associated with adverse events. There are […]
Effects of post-surgical parenteral nutrition on patients with gastric cancer
In this study, we investigated the effect of post-surgical parenteral nutrition on patients with gastric cancer (GC) and its possible mechanism” Jin et al (2018). Abstract: BACKGROUND/AIMS: In this study, we investigated the effect of post-surgical parenteral nutrition on patients with gastric cancer (GC) and its possible mechanism. METHODS: A total of 108 patients were […]
Effectiveness of antibiotic-impregnated PICC for CLABSI prevention
Antimicrobial-impregnated (AIP) peripherally inserted central catheters (PICCs) may lower risk of central line–associated bloodstream infection (CLABSI) compared with nonantimicrobial-impregnated (NAIP) catheters. We sought to assess risk factors for CLABSI with a focus on the effect of AIP PICCs” Kagan et al (2018). Abstract: Background: Antimicrobial-impregnated (AIP) peripherally inserted central catheters (PICCs) may lower risk of […]
Needlestick injury reporting and post exposure procedures
The risk of occupational transmission of bloodborne pathogens to health care workers is primarily associated with needlestick and sharps injuries (NSIs). However, most NSIs are not reported, and most health care workers are not aware of postexposure procedures” Çiçek-Şentürk et al (2018). Abstract: Background: The risk of occupational transmission of bloodborne pathogens to health care […]
Treatment of severe extravasation injuries in preterm neonates
Extravasation injuries occur in 18% to 33%, with 70% in neonates < 27 weeks of gestational age. Despite such frequent use of PIV therapy, evidence on best practice, injury prevention, management, and treatment of extravasations is lacking” Boyar and Galiczewski (2018). Abstract: INTRODUCTION: A peripheral intravenous (PIV) catheter is placed in 60% to 70% of […]
PICC evidence-based care and management project
This project aimed to promote evidence-based practice in the management of peripherally inserted central venous catheters (PICCs) in pediatric and adult patients in an intensive care unit (ICU)” Oliveira et al (2018). Abstract: OBJECTIVE: This project aimed to promote evidence-based practice in the management of peripherally inserted central venous catheters (PICCs) in pediatric and adult […]
CLABSI rate reduction with evidence-based practice
In this article, we describe the agile implementation methodology and present details of how it was successfully used to reduce CLABSI” Azar et al (2018). Abstract: BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are among the most common hospital-acquired infections and can lead to increased patient morbidity and mortality rates. Implementation of practice guidelines and recommended […]
Human factors intervention reduces the rate of unused peripheral IV cannula insertion
Our objective was to examine the impact of a human factor-designed multimodal intervention on the proportion of unused peripheral i.v. cannula (PIVC) insertion in our ED” Egerton-Warburton et al (2018). Abstract: OBJECTIVE: Our objective was to examine the impact of a human factor-designed multimodal intervention on the proportion of unused peripheral i.v. cannula (PIVC) insertion […]
OPAT services for patients with serious infections who inject drugs
More research is needed to study the safety and effectiveness of OPAT among PWID, as well as studying the combination of OPAT and addiction treatment” Suzuki et al (2018). Abstract: Hospitalizations for people who inject drugs (PWID) with infectious complications requiring prolonged antibiotic therapy are increasing in the context of the opioid epidemic. Although outpatient […]
Intraarticular extravasation following intraosseous needle intravenous access
Off label use of intraosseous needles (IONs) for contrast media (CM) injection during computed tomographic angiography (CTA) has been reported in small case series and isolated case reports” Winkler et al (2018). Abstract: Off label use of intraosseous needles (IONs) for contrast media (CM) injection during computed tomographic angiography (CTA) has been reported in small […]
Peripheral IV catheter failure rates reach an unacceptable level
“Most patients admitted to the hospital via the emergency department (ED) do so with a peripheral intravenous catheter/cannula (PIVC). Many PIVCs develop postinsertion failure (PIF)” Carr et al (2018).
Needlestick protocol awareness amongst medical students
Regarding needle-stick injuries, 1165 (63.9%) had been informed on the protocols to follow if an injury occurred. Three hundred forty-nine (19.1%) had suffered needle-stick injuries, only 125 (35.8%) received immediate medical attention at the point of care” Vilar-Compte et al (2018). Abstract: BACKGROUND: Proper immunization and knowledge in infection prevention are key factors in protecting […]
Self-care intravenous therapy combined with OPAT
Kavita Bhavan, M.D., medical director of the Infectious Diseases Outpatient Parenteral Antimicrobial Therapy [OPAT] Clinic at Parkland, says the clinic treats many patients who need intravenous antimicrobial therapy for several weeks to recover from serious infections stemming from illness or injury” Butcher (2018). Abstract: When leaders at Parkland Health & Hospital System in Dallas launched […]
Central venous access and pacemaker interference
We report the case of an 84-year-old male with history of permanent pacemaker placement that interfered with catheter placement in the contralateral central circulation” Studer and Lucero (2018). Abstract: Central venous access is often required in resuscitation of the critically ill or injured. Permanent pacemaker placement has been associated with stenosis of the ipsilateral central […]
Management of CVC associated inadvertent carotid cannulation
We report 2 cases-a 59-year-old Hispanic man and an 86-year-old white man-of inadvertent placement of a CVC into the left common carotid artery, removed via a pull-and-pressure technique under real-time ultrasound guidance” Libricz et al (2018). Abstract INTRODUCTION: Despite ultrasound use, accidental carotid cannulation is possible during placement of a central venous catheter (CVC), requiring […]
Inferior vena cava diameter as a guide in hypotensive patients for IV therapy
Our aim is to find the correlation and sensitivity of inferior vena cava (IVC) diameter measured by ultrasound to provide a noninvasive method for evaluation of IV among patients with hypotension and hypovolemia in the emergency department (ED)” Chardoli et al (2018). Abstract: BACKGROUND: Knowledge of intravascular volume (IV) status of a hypotensive patient is […]
HAI and colonization in a Vietnamese intensive care unit
The vascular catheterization (central venous, arterial and hemofiltration catheter) was significantly associated with hospital-acquired bloodstream infection” Thuy et al (2018). Abstract: Data concerning intensive care unit (ICU)-acquired bacterial colonization and infections are scarce from low and middle-income countries (LMICs). ICU patients in these settings are at high risk of becoming colonized and infected with antimicrobial-resistant […]