Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]

Webster, Joan and Osborne, Sonya and Rickard, Clare M. and New, Karen (2013) Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]. Cochrane Database of Systematic Reviews (8 - CD007798). pp. 1-45.

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Background: Most hospital patients receive fluids or medications via an intravenous catheter at some time during their hospital stay. An intravenous catheter (also called an IV drip or intravenous cannula) is a short, hollow tube placed in the vein to allow administration of medications, fluids or nutrients directly into the bloodstream. These catheters are often replaced every three to four days to try to prevent irritation of the vein or infection of the blood. However, the procedure may cause discomfort to patients and is quite costly.
Study characteristics and key results: This review included all of the randomised controlled trials (current up toMarch 2015), which have compared routine catheter changes with changing the catheter only if there were signs of inflammation or infection. We measured catheter-related blood stream infection, phlebitis and other problems associated with peripheral catheters, such as local infection and catheter blockage. There was no difference between the groups on any of these measures. However, we did find that it costs less, on average, when catheters were replaced when there was a clinical indication to do so, compared with routine changes.
Quality of the evidence: The overall quality of the evidence was rated as being high for most of the outcomes. There was some uncertainty for the outcome ’catheter related blood stream infection’, so the evidence for that outcome was downgraded to moderate. We found no evidence of benefit to support current practice of changing catheters routinely every three to four days.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version made available in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery
Date Deposited: 18 Jul 2019 01:33
Last Modified: 18 Jul 2019 01:50
Uncontrolled Keywords: catheter-related infections; prevention & control; catheterization, peripheral; adverse effects; economics; instrumentation; catheters, indwelling; device removal; guideline adherence; incidence; phlebitis; randomized controlled trials; time factors
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1002/14651858.CD007798.pub3

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