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Care and maintenance of peripheral IV cannula – Full Text

“Findings showed that poor peripheral intravenous cannulation practice and care which was predicted by work experience, existence of guidelines, and training. As a result, Nurses and midwifes must keep up to speed with focused in-service training, access, and/or follow thorough protocol guidelines for the management of peripheral intravenous cannulation” Kefale et al (2024).

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Patient-reported OPAT outcome measures – Full Text

“Patients experienced significant improvements in Health-Related Quality of Life (HRQoL) while enrolled in OPAT and the programme yields high patient satisfaction. Hospitals considering new OPAT programmes should include both patient satisfaction and HRQoL impact in their argument repertoire for the introduction of OPAT” Burch et al (2024).

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OPAT antimicrobial stability testing guidance – Full Text

“In conclusion, harmonization of antimicrobial stability testing to form a global OPAT-specific regulatory framework, particularly considering ‘areas of variation’ amongst current guidance, is required. We call for the development of a global OPAT antimicrobial stability testing framework with consensus from accepted antimicrobial stability criteria, expert opinion and pharmacopoeial best practice” Naicker et al (2024).

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Contaminated blood culture case study – Full Text

“This case highlights the risks associated with empiric antibiotic treatment of patients with suspected bacteremia, the implications associated with improper blood culture collection technique leading to false positive results, and the importance of interpreting a laboratory result within the context of the patient’s clinical status rather than relying solely on Systemic Inflammatory Response Syndrome (SIRS) criteria” Ordookhanian et al (2024).

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Occupational exposure to blood and body fluids – Full Text

“Primary care workplaces where occupational exposure to blood and body fluids may occur should have policies and procedures in place to manage such incidents. All healthcare workers should be immunised against hepatitis B and ideally should have documentation of their antibody response to vaccination” Pierce (2024).

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ChatGPT role in understanding radiopharmaceutical extravasation – Full Text

“Based on these results we concluded that ChatGPT may be a reliable resource for patients interested in radiopharmaceutical extravasations. However, these validated and verified ChatGPT responses differed significantly from official positions and public comments regarding radiopharmaceutical extravasations made by the SNMMI and nuclear medicine staff” Alvarez et al (2024).

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Value of time to positivity in blood cultures – Full Text

“Time to positivity (TTP) refers to the duration required for a microbiological culture test to indicate a positive result, marking the onset of detectable bacterial or fungal growth in the sample. Numerous variables, including patient characteristics, infection source, former antimicrobial therapy, blood sample volume, and sample transportation time can influence the value of TTP” Maffezzoli et al (2024).

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Management of residual volumes in intermittent medication infusions

“This review will improve understanding of current practices by examining flushing procedures used in the management of residual volume, identifying instances when residual volume is discarded, documenting effects on dosing, examining the impact on patient outcomes, and examining possible environmental harm from waste disposal of undelivered medication” Rout et al (2024).

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Abandonment of paediatric peripheral IV catheter insertion – Full Text

“This study suggests the rate of PIVC insertion abandonment in children is relatively infrequent. However, more than one in 10 children aged <12 months had PIVC attempts without successful insertion. PIVC abandonment was less likely when there was an indication that necessitated PIVC insertion, such as a serious bacterial infection" Clarke et al (2024).

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Comparison of peripheral cannula outcomes

“PIVCs with ultrasound guidance were apparently more effective than the blind ones, reducing the number of successive cannulations. Additionally, LPCs, with their greater length compared to SPCs, have proven to be more durable and may be recommended as emergency venous access in children requiring peripheral access for 4-15 days” Refosco et al (2024).

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The CLABSI burden among outpatients – Full Text

“However, central lines (CLs) are increasingly used outside of acute care hospitals, in locations such as the patient home, outpatient infusion or chemotherapy centers, skilled nursing or long-term care facilities, home-based or facility-based dialysis centers, and rehabilitation facilities. CLABSIs that arise in these settings are not included in surveillance or reported systematically” Oladapo-Shittu et al (2024).

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Non-traumatic extremity compartment syndrome

“The average in hospital-mortality for all NTECS etiologies was 20 %. While uncommon, many etiologies of NTECS exist and often manifest insidiously. 13% of patients who develop NTECS will require a skin graft / flap, or extremity amputation. 20 % of patients who develop NTECS die during their hospitalization” Smith et al (2024).

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Complications associated with peripheral venous catheters – Full Text

“The endoscopy department can alert clinicians to PVC-associated complications. PVCs inserted in the emergency room were subject to a higher risk of phlebitis and/or colonization. Therefore, we recommend systematically replacing PVCs inserted in the emergency room within 48 h if preventive measures during insertion cannot be guaranteed” érez-Granda et al (2024).

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