IVUPDATE from IVTEAM

IVTEAM is a global resource for vascular access and infusion therapy, dedicated to supporting clinical teams worldwide. Our daily updates help healthcare professionals stay current with the latest evidence in vascular access and infusion therapy.

CHG bathing compliance and CLABSI rates

“Daily chlorhexidine gluconate (CHG) bathing is a well-supported intervention to reduce patient’s risk of central line associated bloodstream infection (CLABSI); however, compliance with this practice is suboptimal” Daily chlorhexidine gluconate (CHG) bathing is a well-supported intervention to reduce patient’s risk of central line associated bloodstream infection (CLABSI); however, compliance with this practice is suboptimal et al (2023).

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Guidance for antibiotic dosing in obese adults

“Pharmacokinetic changes are frequently reported, can be variable, and sometimes conflicting in this population, and do not always translate to a documented difference in clinical outcomes, yet are used to inform dosing strategies” Meng et al (2023).

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Malposition of totally implantable venous access port – Full Text

“The catheter malposition rate of ultrasound-guided TIVAP implantation via IJV is low, and the malposed catheter can be successfully adjusted to the proper position by simple manipulative repositioning or DSA-assisted percutaneous positioning, however, the catheter malposition incidence of TIVAP implanted via left IJV is higher than that via the right side” Liu et al (2023).

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Stepdown from IV to oral antibiotics

“The purpose of this study was to compare the clinical outcomes of adults with uncomplicated streptococcal bacteremia who received either oral stepdown (PO) or continued intravenous (IV) therapy” Waked et al (2023).

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OPAT for prosthetic joint infections

“Treatment includes surgical intervention with prolonged courses of IV antibiotics in outpatient parenteral antimicrobial therapy (OPAT) programs. The risk of PJI treatment failure is high and may be associated with various clinical factors” Flaten et al (2023).

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Ultrasound-guided CVC options

“No difference was found between the real-time ultrasound-guided out-of-plane cannulation of the IJV and the infraclavicular real-time ultrasound-guided in-plane cannulation of the AXV” Czarnik et al (2023).

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