CLABSI risk in home parenteral nutrition patients
“The CLABSI rate was 1.02/1000 catheter days. Most CLABSIs were caused by Enterobacterales (22%, n = 12/55) and Candida sp. (22%, n = 12/55). Empiric antimicrobial therapy was adequate in only 25% (n = 7/28), and the median time to effective antibiotic therapy was 22.7 h (interquartile range 4.8-29.8)” Hoey et al (2024).
Antimicrobial-resistant CLABSI in adult intensive care units – Full Text
“We demonstrate a decreasing incidence of CLABSI in Victorian adult ICU and an increasing burden of infections due to CNS. No significant time trend increases in antimicrobial-resistant organisms, including MRSA, vancomycin-resistant E. faecium, and ceftriaxone-resistant E. coli were observed” Lim et al (2024).
Bacterial contamination during drug administration
“The authors found that plastic syringes caused approximately equivalent PIS-induced contamination and that glass syringes caused substantially more contamination than plastic syringes. However, syringes equipped with a plastic cover exhibited no contamination” Kawakami et al (2024).
Neonatal CLABSI reduction
“Over 4 years, the project achieved an 86.6% reduction in CLABSI events, decreasing from 15 events in 2019 to two in 2023. The CLABSI rate dropped by 85%, from 2.15 to 0.32 per 1,000 line days” Riley et al (2024).
Patient experience with central venous access devices
“This systematic review aimed to identify and critique patient-reported outcome measure (PROM) and patient-reported experience measure (PREM) instruments related to CVADs” Larsen et al (2024).
Managing distress during implanted port needle insertion
“This systematic review aims to assess the effectiveness of IVR intervention utilizing advanced head-mounted displays, in alleviating physical and psychological distress among Children and Adolescents diagnosed with malignancies undergoing chemotherapy treatment via Implantable Venous Access Device/Port (IVAD/P) (P) needle insertion” Tsitsi et al (2024).
Review of top OPAT publications in 2023 – Full Text
“Outpatient parenteral antimicrobial therapy (OPAT) has become more common in infectious diseases practice settings. Similarly, OPAT-related publications have also increased. The objective of this article was to summarize clinically important OPAT-related publications from 2023” Childs-Kean et al (2024).
Midline catheter-associated thrombosis
“These findings support emerging evidence that there does not appear to be an increased risk of MCAT in midlines with an axillary vein tip location. The practice of avoiding the axillary vein for midline catheter tip placement should be reconsidered” Schechter et al (2024).
Technology for infusion line identification
“The light-linking technology reduced overall time to injection compared to standard labeling practices and demonstrated a significant decrease in time to injection in low-light settings, greater perceived usability, and lower perceived task load. Injection error rate could not be adequately assessed, but 6 of 8 errors were committed in low-light conditions” Huffman et al (2024).
Safety of peripheral vasopressors to decrease central line placement
“The results of this analysis demonstrate that vasopressors can peripherally administered safely, when proximal to the antecubital fossa, at lower doses, and for short durations of infusion with minimal adverse events” Dansereau (2024).
Impact of tunneling PICC on CLABSI rates
“We aimed to evaluate whether subcutaneous tunneling in peripherally inserted central catheters (PICC) placement could reduce the occurrence of central-line associated blood stream infection (CLABSI)” Kim et al (2024).
Accurate estimates for healthcare associated infections – Full Text
“Conversely, no significant difference was found between incidence rates estimated based on weighted VAP and CLABSI prevalence and measured through GiViTI (p = 0.927 and 0.503 respectively)” Vicentini et al (2024).
Review of occupational exposure to blood and body fluids
“This study aims to assess the incidence of occupational exposure to BBF among HCPs reported to a military hospital over a five-year period” Stamataki et al (2024).
Continuous versus intermittent infusion of beta-lactam antibiotics
“We conclude that continuous/extended infusion showed a greater clinical benefit in highly critical cases, namely sepsis and febrile neutropenia, compared to intermittent infusion” Alawyia et al (2024).
Guidelines to reduce blood culture contamination – Full Text
“Our evidence-based systematic review and meta-analysis support several interventions to effectively reduce BCC by approximately 40%-60%. However, devices alone without an education/training component and buy-in from key stakeholders to implement various interventions would not be as effective in reducing BCC rates” Sautter et al (2024).
Model for peripheral ultrasound-guided IV access training – Full Text
“This study proposes an advanced model for ultrasound-guided peripheral IV access training, demonstrating a statistically significant increase in confidence levels” Standifird et al (2024).
Enhancing benzylpenicillin stability during OPAT – Full Text
“Benzylpenicillin buffered with sodium citrate is a safe and convenient option for use in continuous infusions during OPAT and should be favored over broad-spectrum antibiotics” Rentsch et al (2024).
Development of bacteriostatic central venous port – Full Text
“A novel central venous port (CVP) with light-emitting diodes (LEDs) that emits red light with a wavelength of 680 nm via wireless energy transmission technology has been established” Takara et al (2024).
Tunneled PICC clinical outcomes – Full Text
“Comparing the differences in efficacy and adverse reactions on the application between tunnel peripherally inserted central catheter (TPICC) and ultrasound-guided peripherally inserted central catheter (PICC) in patients with advanced tumors” Zheng et al (2024).
Chlorhexidine gluconate IV dressing research – Full Text
“There is a notable reduction in the incidence of CRBSI and bacterial colonization in patients with CVCs through the application of chlorhexidine gluconate dressings. Given the compelling evidence, the integration of these dressings into standard nursing care protocols for the management of CVCs is advocated” Xu et al (2024).
OPAT treatment of patients with endocarditis – Full Text
“This study adds to the accumulating evidence supporting the treatment of E. faecalis endocarditis with OPAT continuous infusion IV benzylpenicillin plus bolus/continuous infusion IV ceftriaxone” Briggs et al (2024).
Double port-a-cath implantation tips and tricks – Full Text
“This study was designed to evaluate the clinical benefit of double-lumen port catheters in patients receiving chemotherapy and parenteral nutrition concurrently or in those with vascular access failure” de Oliveira Leite (2024).
Vascular Access and IV Therapy Resource
Community-based venipuncture care model for children – Full Text
“A model of care was developed to ensure compassionate and non-stressful venipuncture for children and young adults with disabilities. We demonstrated that a significant proportion of carefully selected children and young adults with ID/DD and CBs, considered ‘challenging for blood collection’ can have venipuncture performed successfully in non-hospital settings using ‘reasonable adjustments’ and oral sedation” Garg et al (2024).
Removal of stuck implantable port catheter in a paediatric patient – Full Text
“A chemoport is widely used in paediatric oncology population. Removal is a relatively easy procedure, but difficulty can be encountered in case the catheter is densely adherent to the vascular wall. It is a rare complication and is associated with long indwelling duration and acute lymphoblastic leukaemia (ALL). Forceful traction can lead to vascular injury and high morbidity” Sen and Cheng (2024).
Learning intramuscular injection technique with immersive virtual reality
“This study was aimed at determining the effectiveness of immersive VR simulation as a learning strategy on the acquisition of intramuscular injection skills in nursing education and the performance level of nursing students compared with a physical learning environment (low-fidelity simulation)” Jallad and Işık (2024).
Board certification of central venous catheterization
“Board certification was associated with a significant reduction in surgery-associated complications during central venous catheterization” Sanmoto et al (2024).
Modelling of intramuscular injection site events – Full Text
“IM drug research is expanding what injectable therapeutics can achieve. However, post-injection events that influence PK outcomes remain poorly understood. Until addressed, advances in IM drug development will not realize their full potential” McCartan and Mrsny (2024).
Umbilical cord blood testing for hemostasis assays
Umbilical cord blood testing for hemostasis assays Abstract: Background: Umbilical cord blood is used for the testing of various parameters in newborns. However, data on
PICC dressing change alert development
“An interruptive alert to remind clinicians about a required peripherally inserted central catheter (PICC) dressing change within the first 48-hours after placement resulted in 617 firings in a 6-month period with only 11 (1.7%) actions taken from the alert” Knake et al (2024).
CVC procedural performance using hand motion analysis – Full Text
“Eight radiology trainees performed central venous access on a phantom while recording video and hand motion data using an electromagnetic motion tracker. Each trainee performed the procedure six times: the first three trials without any prompts (control), while for the next three, they were asked to perform the task as fast as possible (time pressure)” Metrouh et al (2024).
IV or intraosseous vascular access patient outcomes – Full Text
“An IV-first approach, compared to humeral-IO, for intra-arrest resuscitation was associated with an improved odds of favorable neurological outcomes and survival to hospital discharge” Brebner et al (2024).
Impact of rounding checklists on patient outcomes – Full Text
“The primary outcome was in-hospital mortality. Secondary outcomes included ICU and 30-day mortality; hospital and ICU length of stay (LOS); duration of mechanical ventilation; and frequency of catheter-associated urinary tract infections, central line-associated bloodstream infections (CLABSI), and ventilator-associated pneumonia” MacKinnon et al (2024).
Needlestick prevalence and risk factors – Full Text
“This study found that nearly half of the respondents experienced a sharp needle poke and injury at least once in the previous year; however, the volume of NSSI remains high in the study area” Aliyo and Gemechu (2024).
Totally implantable venous access port self-management – Full Text
“This study aimed to develop the Chinese version of the totally implantable venous access port (TIVAP) self-management behavior scale for patients with cancer to provide a reliable tool for medical staff to judge patients with TIVAP self-management behavior” Wu et al (2024).
Retained central venous catheter fragment in a patient – Full Text
“Mechanical issues, including fracture, are common complications of CVCs. Specifically, retained CVC fragments after attempted removal have been described in the literature in pediatric patients with prolonged use of CVCs, with incidence ranging from 0.3% to 2%.” Sierra Velez et al (2024).
Microbiological analysis of tunneled hemodialysis catheters – Full Text
“To compare the microbial communities inside hemodialysis catheters from symptomatic and asymptomatic patients to determine their differences” Sivaranjani et al (2024).
CLABSI in children with tunneled central venous catheters – Full Text
“CABSI is a serious complications related to tunnelled catheter. Smaller children (<4 years), neutropenia and usage of TPN is a risk factor for development of CABSI" Sahu et al (2024).
Bloodstream infections related to totally implantable ports – Full Text
“This study aimed to develop and validate a machine learning-based risk prediction model for catheter-related bloodstream infection (CRBSI) following implantation of totally implantable venous access ports (TIVAPs) in patients” Wang et al (2024).
CVC infection in a five year old child on long term parenteral nutrition – Full Text
“A five year old girl with life-long TPN dependence for short gut syndrome presented with two episodes of non-fatal Mucor indicus central line associated blood stream infection (CLABSI). Each episode occurred fifteen months apart, without any evidence of ongoing mould infection whilst off antifungal therapy in the intervening time period” Allen (2024).
Operation STICK improves vascular access outcomes
“Standardized education/training in vascular access focusing on best practices yields favorable outcomes for DIVA patients within an established specialty team” Gibson et al (2024).
Guidewire assisted central venous catheter replacement
“Patients with intestinal failure (IF) require long-term parenteral nutrition using central venous catheters (CVCs), which often require replacement. We adopted a less fallible guidewire replacement (GWR) method and verified its effectiveness and validity” Sakurai et al (2024).
Prevention of parenteral nutrition complications – Full Text
“In this review, we focus on potential metabolic and catheter-related complications associated with parenteral nutrition use” Al-Zubeidi et al (2024).
CLABSI and CRBSI systematic review
“CLABSIs and CRBSIs increase mortality risk and hospital LOSs. Few published studies accounted for the time-dependent nature of CLABSIs/CRBSIs, which can result in overestimation of excess hospital LOS” Elangovan et al (2024).
Placement of tunneled hemodialysis catheters
“This manuscript reviews the current standard in tHDC creation, patient selection and strategies to mitigate the risk of infectious complications and catheter thrombosis” Schröppel et al (2024).
Knowledge of intravenous fluid therapy – Full Text
“The study’s results indicate a worrying trajectory in nurses’ knowledge of intravenous therapy. These findings underscore the need for hospitals to establish comprehensive training programs for nurses to guarantee the provision of secure and efficient intravenous therapy” Tomas et al (2024).
Needlestick injury prevention module – Full Text
“This study aims to develop and validate the Needlestick Injury Prevention Module (N-SIP) using the ADDIE model (Florida State University, FL), which stands for Analysis, Design, Development, Implementation, and Evaluation, to improve NSI-related knowledge and risk perception among House Officers (HOs) in healthcare settings” Mohd Kutubudin et al (2024).
Comparison of vancomycin and daptomycin cost in OPAT – Full Text
“We analyze health care utilization and cost to the health care system for vancomycin vs daptomycin in the outpatient setting and find that vancomycin results in significantly higher health care utilization and similar cost per course compared with daptomycin in OPAT” Streifel et al (2024).
Ultrasound-guided versus palpation-techniques for vascular access in children – Full Text
“US guidance improves successful cannulation rates and first-attempt success in arterial access and reduces the number of attempts and procedural time for arterial and venous access” Ibrahim et al (2024).
Catheter-related septic thrombosis treatment – Full Text
“A recent study showed that a short course of antimicrobial therapy (≤3 weeks) had similar outcomes to a prolonged course on CRBSI-ST. From this perspective, starting from the desirable goal of shortening the treatment duration, we discuss how the path to the correct diagnosis and management of CRBSI-ST may be paved with several challenges” Maraolo et al (2024).
Nurse-led peripherally inserted central catheter service – Full Text
“A nurse-led model for PICC insertion has remarkably high success rates and low rates of complication, highlighting the pivotal role of a specialised PICC team” Alsaleh et al (2024).
Which arm – Vascular access procedures and breast surgery – Full Text
“The overall quality and quantity of evidence in this field is sufficient to conclude that skin puncturing procedures on ipsilateral arms should not be avoided in patients with previous breast or axillary surgery” Hadjistyllis et al (2024).
Factors associated with implantable port failure – Full Text
“The assessment and management of totally implanted vascular access devices (TIVAD) prior to the administration of medications/fluids are vital to ensuring the risk of harm is mitigated” Meredith et al (2024).