Vascular access for long-term parenteral nutrition
“Securing safe and effective intravenous (IV) access is of utmost importance for administering parenteral nutrition (PN). Sustaining this access can indeed pose challenges, especially when dealing with the risk of complications associated with long-term PN. This review emphasizes best practices to optimize intravenous access and reviews the current evidence-based recommendations and consensus guidelines” Hurt et al (2024).
Central catheter salvage and prophylaxis in the PICU
“The use of ELT for catheter salvage and prophylaxis in the PICU is safe in a variety of polyurethane catheters. Dwell times ranging from 30 minutes to 2 hours were effective in sterilizing the catheters while allowing other therapies to continue” Weber et al (2024).
Post CLABSI antimicrobial de-escalation
“An institutional protocol was developed for the evaluation and empirical antibiotic treatment of possible CLABSIs. The potential impact of de-escalating antimicrobial therapy based on initial Gram stain and molecular identification was assessed” Beckman et al (2024).
Implantable port site complications post bevacizumab infusion
“The results of this study show an inverse relationship between the risk of wound dehiscence and port site complication and the timing of bevacizumab infusion to port placement, with an increase in absolute risk of wound dehiscence when bevacizumab is given within 2 days of port placement” Yun et al (2024).
Totally implantable ports in infants and children – Full Text
“The type of port, including the material of the port’s venous catheter, and the underlying disease have an impact on the durability of implantable intravenous systems” Sosnowska-Sienkiewicz et al (2024).
Proposal for the development of German central venous access guidelines
“In our opinion, the most needed recommendation for central venous access is to utilize ultrasound guidance, a practice that many international societies have already incorporated into their published national guidelines. In our view, it is time to implement a national guideline for central venous access using ultrasound in Germany” Armbruster et al (2024).
Mycobacterium senegalense CLABSI diagnosis and management
“Blood cultures from a permanent catheter and peripheral taken concurrently yielded Mycobacterium senegalense, identified by matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry, which established the diagnosis of CRBSI atypically presented with concurrent acute intracranial bleeding and cerebrovascular infarction at initial presentation” Badarol Hisham et al (2024).
Study of home antibiotic infusion therapy using elastomeric pumps – Full Text
“Outpatient antimicrobial therapy in elastomeric infusion pumps is an alternative in patients requiring prolonged intravenous treatment, and age is not a conditioning factor for inclusion in these programs” Ferro Rodríguez et al (2024).
Disinfection of needleless connectors with ultraviolet light – Full Text
“We demonstrated the efficacy of UV-C for the disinfection of NCs in one second using the UV-C device in benchtop studies” Fourkas et al (2024).
Needlestick injury prevalence – Full Text
“Needle stick injuries has a high prevalence among Iranian nurses, especially nurses working in teaching hospitals. Therefore, it seems necessary to use interventions to reduce it” Halimi et al (2024).
OPAT patient experience in Germany – Full Text
“Because OPAT has been used only sporadically in Germany so far, no structured results on patients’ experiences and concerns regarding OPAT have yet been available. This study therefore aims to explore the experiences of OPAT patients in a pilot region in Germany” Oberröhrmann et al (2024).
CVC insertion and hemorrhagic risk in leukemia patients – Full Text
“Our study suggested that CVCs did not increase the hemorrhagic risk in APL patients during induction therapy and that a CVC should be considered in this type of clinical situation” Cao et al (2024).
Basilic vein variation during arm port placement – Full Text
“Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration. This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port” Hu et al (2024).
Biofilm formation in hemodialysis patients – Full Text
“These insights contribute to a better understanding of the molecular characteristics associated with Staphylococcus aureus, infections in hemodialysis patients and provided more targeted and effective treatment approaches” Lai et al (2024).
Central venous catheter maintenance – quality improvement project – Full Text
“The i-PARIHS framework is an effective tool for developing targeted, evidence-based improvement strategies and applying these to the clinical setting. The quality of the nurses’ clinical practice improved during CVC maintenance” Wang et al (2024).
PICC-related infection risk factors – Full Text
“PICC-related infections are associated with factors such as age >60 years, catheter movement, catheter maintenance cycle, insertion technique, immune function, complications, and body temperature ≥37.2 °C before PICC placement” Li et al (2024).
Dalbavancin as an OPAT alternative – Full Text
“Dalbavancin is an efficacious and safe alternative to standard OPAT, especially in those with barriers to traditional long-term intravenous antibiotics” Bao et al (2024).
Risk factors of central catheter bloodstream infections in ICU – Full Text
“Effective interventions targeting the above modifiable factors may reduce the risk of developing CRBSI in ICU and improve the clinical outcome of patients. Further prospective studies are needed to confirm these findings” Huang et al (2024).
Midline catheter use in outpatient pain management – Full Text
“The person whose case is described below had poor peripheral veins. He intravenously received lidocaine for 10 days via a midline catheter with a good response” Olczyk-Miiller et al (2024).
Combination systemic and catheter lock-therapy – Full Text
“The study demonstrates that combining systemic and lock therapies with micafungin effectively eradicates catheter-based biofilms and infections caused by C. albicans or C. parapsilosis, particularly in persistently neutropenic conditions, offering promising implications for managing vascular catheter-related candidemia and providing clinical benefits in cases where catheter removal is not feasible” Petraitiene et al (2024).
Adherence to neonatal parenteral nutrition guidelines – Full Text
“While guidelines provide recommended ranges for parenteral nutrition (PN) intakes, they generally recommend enteral nutrition as soon as possible. Thus, in clinical practice, gradually increasing EN intakes complicates assessments of PN guideline adherence” Nguyen et al (2024).
Organising intravenous antibiotic therapy at home – Full Text
“The UK’s recommendations can serve as a good starting point. A national standard for outpatient parenteral antimicrobial therapy should be utilised in combination with local teams that follow up patients” Fjeld and Vukovic (2024).
PICC-related thrombosis in solid neoplasm patients – Full Text
“This study aims to assess the effectiveness of ultrasound-guided management in detecting and treating asymptomatic CRT in cancer patients with PICC” Cominacini et al (2024).
Pharmacist role in OPAT – Full Text
“The TOC pharmacists can play a key role in the evaluation of OPAT prescriptions at hospital discharge. This intervention demonstrated how TOC pharmacists can effectively collaborate with the OPAT team, which builds on prior evidence of the role and value of pharmacists in the transitional care setting” Stashluk et al (2024).
Interventions to manage occluded central venous access devices – Full Text
“This umbrella review concluded that education enhances patient outcomes and decreases occlusion rates. Further studies are required to explore occlusion reduction strategies in relation to flushing and locking” Elliott et al (2024).
Iatrogenic anaemia prevention – Blood-sparing techniques in ICU – Full Text
“In this regard, within patient blood management bundles, with the objective of minimizing the use of blood products, it is recommended to use blood-sparing techniques: small volume tubes (SVT) or closed-blood sampling devices (CBSD)” Raurell-Torredà et al (2024).
Ultrasound-guided CICC placement in newborns – Full Text
“We planned a training program for neonatologists for ultrasound-guided CICCs placement at our level III neonatal intensive care unit (NICU) in Modena, Italy” Zini et al (2024).
CLABSI prevention survey
“Most US hospitals continue to use evidence-based methods to prevent CLABSI as recommended by leading organizations. Opportunities to focus on socio-adaptive interventions such as feedback of infection rates, use of appropriateness criteria for CVC placement, and improving the “culture of pan-culturing” remain” Pisney et al (2024).
Needleless connector flow rates
“In this study we utilised a rapid infuser to deliver room-temperature normal saline through two introducer sheath configurations with and without the addition of needleless connectors and the placement of catheters through the introducer sheaths” Smeltz et al (2024).
Arterial catheterization clinical outcomes – Full Text
“We aimed to determine the incidence of abnormal duplex vascular ultrasound and catheter related infections following perioperative arterial catheterization” Eley et al (2024).