CLABSI risk and needleless intravenous connectors meta-analysis
“We conducted a meta-analysis to determine the risk for CLA-BSI associated with the use of a new NC with an improved engineering design’ Tabak et al (2014). First published on IVTEAM 29th November 2014. Repeat publication as full text available. [button link=”http://www.ajicjournal.org/article/S0196-6553(14)01132-8/pdf” color=”default”]Full Text[/button] Reference: Tabak, Y.P., Jarvis, W.R., Sun, X., Crosby, C.T. and Johannes, […]
ECG control of catheter tip position during implantation of femoral venous port
ECG guidance is effective to assess catheter tip position during femoral port placement and avoids the need for radiological methods” Gibault et al (2015). Reference: Gibault, P., Desruennes, E. and Bourgain, J.L. (2015) Peroperative electrocardiographic control of catheter tip position during implantation of femoral venous ports. Journal of Vascular Access. April 28th. [epub ahead of […]
CLABSI prevention in hematopoietic stem cell transplantation recipients
The first important step is introduction of CLABSI rate monitoring in this high-risk patient population” Snarski et al (2015). Reference: Snarski, E., Mank, A., Iacobelli, S., Hoek, J., Styczyński, J., Babic, A., Cesaro, S. and Johansson, E. (2015) Current practices used for the prevention of central venous catheter-associated infection (CLABSI) in hematopoietic stem cell transplantation […]
Prediction of CRBSIs in patients with haematologic malignancies
The aim of this study was to predict the probability of central venous catheter-related bloodstream infections (CRBSIs) in patients with haematologic malignancies using a modified version of the Infection Probability Score (mIPS)” Schalk et al (2015). Reference: Schalk, E., Hanus, L., Färber, J., Fischer, T. and Heidel, F.H. (2015) Prediction of central venous catheter-related bloodstream […]
Evaluation of PICC complications in orthopedic inpatients
The purpose of this study is to evaluate the complications of peripherally inserted central catheters (PICCs) in orthopedic patients with chronic bone orthopedic infection” Schneider et al (2015). Reference: Schneider, L.V., Duron, S., Arnaud, F.X., Bousquet, A., Kervella, Y., Bouzad, C., Baccialone, J., A’Teriitehau, C. and Potet, J. (2015) Evaluation of PICC complications in orthopedic […]
Diagnosis and management of central venous catheter infections in children
Despite preventative measures, central venous catheter-related infections are common, with rates of 0.5-2.8/1000 catheter days in children and 0.6-2.5/1000 catheter days in neonates” Chesshyre et al (2015). Reference: Chesshyre, E., Goff, Z., Bowen, A. and Carapetis, J. (2015) The Prevention, Diagnosis And Management Of Central Venous Line Infections In Children. The Journal of infection. April […]
Needlestick prevention prior to EU Directive in a sample of Italian hospitals
Needlesticks and cuts are the most common occupational injuries in healthcare workers (HCWs). Directive 2010/32/EU defines principles and preventive interventions” Di Bari et al (2015). Reference: Di Bari, V., De Carli, G., Puro, V. et al (2015) Needlestick prevention prior to Directive 2010/32/EU in a sample of Italian hospitals. La Medicina del Lavoro. 106(3), p.186-205. […]
Propofol extravasation cause of forearm compartment syndrome
She suffered extravasation of her propofol infusion, which resulted in intrinsic compression within her forearm muscle compartments” Kalraiya et al (2015). Reference: Kalraiya, A.J., Madanipour, S., Colaco, H. and Cobiella, C. (2015) Propofol extravasation: a rare cause of compartment syndrome. BMJ Case Reports. May 7th. [ctt tweet=”Propofol extravasation cause of forearm compartment syndrome http://ctt.ec/66tOB+ @ivteam […]
PICC associated venous thromboembolism in upper and lower extremities
We examined the risk of venous thromboembolism in deep veins of the arm, leg and chest following PICC placement” Greene et al (2015). Reference: Greene, M.T., Flanders, S.A., Woller, S.C., Bernstein, S.J. and Chopra, V. (2015) The Association Between Peripherally Inserted Central Catheter Use and Venous Thromboembolism in Upper and Lower Extremities. The American Journal […]
Managing peripherally inserted central catheter complications
This prospective observational single-centre study aimed to investigate PICC-related complications after implementation of a multidisciplinary approach to PICC care and compared it with previous literature” Curto-García et al (2015). Reference: Curto-García, N., García-Suárez, J., Callejas Chavarria, M., Gil Fernández, J.J., Martín Guerrero, Y., Magro Mazo, E., Marcellini Antonio, S., Juárez, L.M., Gutierrez, I., Arranz, J.J., […]
Cost comparison of PICC and implanted subcutaneous ports
The global costs of the implantation of a PICC Line and of an implanted subcutaneous port in the interventional radiology room and in the operating room were respectively evaluated at 220.2 €, 286.6 € and 666.3 €” Viart et al (2015). Reference: Viart, H., Combe, C., Martinelli, T., Thomas, J. and Hida, H. (2015) Comparison […]
Inferior thyroid artery pseudoaneurysm during the central line placement
We report a case of iatrogenic inferior thyroid artery pseudoaneurysm during the central line placement due to internal jugular vein puncture” Ruan et al (2015). Reference: Ruan, J., Zhang, C., Peng, Z., Tang, D.Y. and Feng, Z. (2015) Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report. BMC Anesthesiology. 15(1), p71. […]
Seventy one percent of fungal endocarditis in neonates associated with CVAD
Ninety-two percent of the patients were premature. Right atrium was the most common vegetation site (63%). Seventy one percent of cases reported were associated with previous central venous catheters” Pana et al (2015). Reference: Pana, Z.D., Dotis, J., Iosifidis, E. and Roilides, E. (2015) Fungal Endocarditis in Neonates: A Review of 71 Cases (1971-2013). Plastic […]
UCI receives $5 Million to advance bloodstream infection detection technology
Infection Control today report “A UC Irvine research team will receive up to $5 million to further develop a bloodstream infection detection system that speeds up diagnosis times with unprecedented accuracy – allowing physicians to treat patients with potentially deadly ailments more promptly and effectively. The five-year federal award is part of a National Institute […]
Ultrasound-guided internal jugular vein catheterization in pediatric patients
The results suggest that ultrasound-guided IJV catheterization can be performed easily and without any serious complications in pediatric patients, even when performed by visiting house staff” Yang et al (2015). Reference: Yang, E.J., Ha, H.S., Kong, Y.H. and Kim, S.J. (2015) Ultrasound-guided internal jugular vein catheterization in critically ill pediatric patients. Korean Journal of Pediatrics. […]
Compliance with standard precautions by nursing staff in Brazil versus Hong Kong
However, suboptimal compliance with SP has been consistently reported in the nursing literature. This study evaluated the differences of compliance with SP among nurses from Brazil and Hong Kong” Pereira et al (2015). Reference: Pereira, F.M.V., Lam, S.C., Chan, J.H.M., Malaguti-Toffano, S.E. and Gir, E. (2015) Difference in compliance with Standard Precautions by nursing staff […]
Efficiency of chlorhexidine–silver sulfadiazine-impregnated venous catheters at subclavian sites
This study determined the cost of a CVC, diagnosis of CRBSI, and antimicrobial agents to treat CRBSI; we did not consider the cost of increased hospital stay” Lorente et al (2015). Reference: Lorente, L., Lecuona, M., Jiménez, A., Lorenzo, L., Santacreu, R., Ramos, S., Hurtado, E., Buitrago, M. and Mora, M.L. (2015) Efficiency of chlorhexidine–silver […]
Vincristine extravasation rates from peripheral IV access devices
Vincristine infiltration was 0% (95% confidence interval [CI] 0-0.16%) while that of non-vesicant chemotherapy was 0.7% (95%CI 0.1-2.6%)” DiDomenico et al (2015). Reference: DiDomenico, C., Clerico, D. and Leahey, A. (2015) Lack of vincristine infiltrates in patients with retinoblastoma receiving chemotherapy by peripheral intravenous lines. Pediatric Blood & Cancer. April 30th. [epub ahead of print]. [ctt […]
Parenteral nutrition utilisation following implementation of multidisciplinary nutrition support team
Weekly multidisciplinary review of patients receiving PN was associated with reductions in the number of patients started on PN, total days that patients received PN, and number of patients who had short-duration (<5 days) PN use” Parent et al (2015). Reference: Parent, B., Shelton, M., Nordlund, M., Aarabi, S. and O’Keefe, G. (2015) Parenteral Nutrition […]
Will increased bundle compliance reduce CLABSI rates?
There was a nonsignificant trend in decreasing CLABSI rates as PICUs improved bundle policy compliance. Given that few PICUs reported full compliance with these policies, PICUs increasing their efforts to comply with these policies may help reduce CLABSI rates” Edwards et al (2015). Reference: Edwards, J.D., Herzig, C.T., Liu, H., Pogorzelska-Maziarz, M., Zachariah, P., Dick, […]
Impact of reporting CLABSI on blood culture and antibiotic utilisation
Mandatory public reporting of central line-associated bloodstream infection did not impact blood culture and antibiotic utilization, suggesting that clinicians have not shifted their practice in an attempt to detect fewer infections” Flett et al (2015). Reference: Flett, K.B., Ozonoff, A., Graham, D.A., Sandora, T.J. and Priebe, G.P. (2015) Impact of Mandatory Public Reporting of Central […]
Neonatal CLABSI rate reduced to 1.43 per 1000 catheter days
Using the model for improvement and evidenced-based interventions, this QI project has been associated with reduction in the CLABSI rate by 89%, and over 430 CLABSIs likely have been avoided” Shepherd et al (2015). Reference: Shepherd, E.G., Kelly, T.J., Vinsel, J.A., Cunningham, D.J., Keels, E., Beauseau, W. and McClead, R.E. Jr. (2015) Significant Reduction of […]
Systematic review and meta-analysis of citrate locking solutions
Citrate has theoretical advantages over heparin for locking hemodialysis central venous catheters (CVCs), but the comparative effectiveness of these agents is not clear” Grudzinski et al (2015). Reference: Grudzinski, A., Agarwal, A., Bhatnagar, N. and Nesrallah, G. (2015) Benefits and harms of citrate locking solutions for hemodialysis catheters: a systematic review and meta-analysis. Canadian Journal […]
Vascular access care for home hemodialysis patients
This article aims to serve as a “how-to manual” regarding vascular access issues for both patients and health-care providers in a home HD program” Faratro et al (2015). Reference: Faratro, R., Jeffries, J., Nesrallah, G.E. and MacRae, J.M. (2015) The care and keeping of vascular access for home hemodialysis patients. Hemodialysis International. 19(Suppl 1), p.S80-92). [ctt […]
Is there any association between PEEP and upper extremity DVT?
We hypothesized that positive end-exploratory pressure (PEEP) may promote venous stasis in the upper extremities and predispose to upper extremity deep vein thrombosis (UEDVT)” Al-Saffar et al (2015). Reference: Al-Saffar, F., Gupta, E., Siddiqi, F., Faisal, M., Jones, L.M., Seeram, V., Louis, M., Cury, J.D., Bajwa, A.A. and Shujaat, A. (2015) Is There Any Association […]
Review of Allen’s Test prior to transradial arterial access
In this article, we present interesting data from the congenital heart and trauma literature that lead us to suggest the AT is an inadequate test to assess the collateral circulation of the hand” Shah et al (2015). Reference: Shah, A.H., Pancholy, S., Shah, S., Buch, A.N. and Patel, T.M. (2015) Allen’s Test: Does it Have […]
Racial disparities associated with initial hemodialysis access
To assess national trends in initial hemodialysis access with respect to race/ethnicity stratified by comorbid disease, nephrology care, and medical insurance status within the US Renal Data System” Zarkowsky et al 2015. Reference: Zarkowsky, D.S., Arhuidese, I.J., Hicks, C.W., Canner, J.K., Qazi, U., Obeid, T., Schneider, E., Abularrage, C.J., Freischlag, J.A. and Malas, M.B. (2015) Racial/Ethnic […]
SLUG Bug project designed to reduce central line-associated bloodstream infections
We describe the structure and components of an effective multi-institutional neonatal QIC that implemented the “SLUG Bug” project designed to reduce central line-associated bloodstream infections (CLABSIs)” Grover et al (2015). Reference: Grover, T.R., Pallotto, E.K., Brozanski, B., Piazza, A.J., Chuo, J., Moran, S., McClead, R., Mingrone, T., Morelli, L. and Smith, J.R. (2015) Interdisciplinary teamwork […]
Electrocardiographic P-wave changes during central venous catheter placement
“Amplitude changes in the P-wave of intracavitary electrocardiography have been used to assess the tip placement of central venous catheters. The research assessed the sensitivity and specificity of this sign in comparison with standard radiographic techniques for tip location, focusing on factors influencing its clinical utility” Wang et al (2015). Reference: Wang, G., Guo, L., […]
Intravenous fluid resuscitation for paediatric sepsis
“We surveyed senior emergency physicians to see if their fluid resuscitation practices conformed to published clinical guidelines” Long et al (2015). Reference: Long, E., Babl, F., Dalziel, S., Dalton, S., Etheridge, C. and Duke, T. (2015) Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand. Emergency Medicine Australasia. […]