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[Bandage to fix a peripheral intravenous catheter: an integrative literature review].

This integrative literature review aimed at identifying, in the national and international literature, from 1992 to 2002, the publications about bandages to fix a peripheral intravenous catheter and the implications of its usage. Seven scientific articles were identified in the Medline database by using the following keywords: peripheral catheterisation and bandage. The results showed that nurses made 85% of the publications; 42.8% used descriptive comparative research as their methodology and; 71.4% investigated the occurrence of complications. Two studies showed a decrease in the occurrence of complications during the usage of transparent bandage coupled with a safety device. It was concluded that there is not enough basis to subsidise the selection of a bandage to fix a peripheral intravenous catheter.

Bandages↗

The use of gauze versus transparent dressings for peripheral intravenous catheter sites.

The purpose of this research utilization project was to determine if a sufficient research base was present to support the use of gauze rather than transparent dressings for peripheral intravenous catheter sites. The research articles reviewed in this article do not support a relationship between dressing type and complications of peripheral intravenous catheters.

Adult↗

Peripheral and central venous access.

Peripheral venous access is indicated for the administration of fluids, drugs, or if nutrients when other routes are unavailable. Central venous access is indicated if peripheral access is unsuccessful or if hypertonic, irritant, or vasoconstrictor solutions are used. Because of anatomical variations, different peripheral cannulation sites are more appropriate in different age groups. The preferred sites for long-term central venous access in infants and children are the external jugular, facial, internal jugular, saphenous veins at the groin, and subclavian veins. The practical aspects of peripheral and central venous access and the complications are discussed.

Catheterization, Central Venous↗

Are anaerobic bacteria involved in peripheral vein catheter associated thrombophlebitis?

While thrombophlebitis is a common complication of intravenous therapy, infection has been shown to be a cause of this problem in only a minority of cases. However, the methodology employed in the past would not have detected the anaerobes as a cause of this problem. As anaerobes are associated with thrombophlebitis in situations such as septic pelvic thrombophlebitis, we undertook a study to see if they might also be involved in thrombophlebitis associated with peripheral vein catheters. We prospectively studied 26 episodes of peripheral intravenous catheter associated thrombophlebitis. These catheters were all cultured under aerobic conditions by the semiquantitative technique on blood agar plates. In addition, they were promptly processed and cultured under optimal anaerobic conditions. In none of the episodes of thrombophlebitis were the catheters positive on semiquantitative culture. In addition, we did not show the presence of anaerobes on any of these catheters. We conclude that there is no evidence that anaerobes are associated with peripheral vein thrombophlebitis.

Bacteria, Anaerobic↗

[Venous catheters with peripheral access].

Using different catheters to inject or infuse drugs into patients veins, as well as drawing blood samples, are part of the daily hospital routine for nursing personnel. There are many documented accounts written about these instruments, most by professional experts and therefore usually very technical in nature. This technical aspect presents a stumbling block for nursing personnel who are studying or just starting their practice. The purpose of this article is to present a practical, simple description of the different types of peripheral access catheters, their use and maintenance.

Catheterization, Peripheral↗

Incidence of urinary tract and bloodstream infections in Ghotbeddin Burn Center, Shiraz 2000-2001.

Though burn wound infections have been extensively studied, other nosocomial infections (NIs) in burn patients have received less attention. Invasive diagnostic procedures (vascular and bladder catheterization) make the burn patients more susceptible to different nosocomial infections. The aim of this study was to determine the rate of bloodstream and urinary tract infections associated with i.v. line and urinary catheter (UC) in Ghotbeddin Burn Center and also to compare these rates with those of the National Nosocomial Infections Surveillance System (NNIS) in the USA. This study was conducted over 11 months, from 21st December 2000 to 21st November 2001. All the patients who were admitted for more than 48 h and did not have evidence of infection at the time of admission were included in the study. For diagnosis of urinary tract and bloodstream infections, the standard definitions from the Center for Diseases Control (CDC) were used. Of the total 106 qualifying patients, 91 study patients acquired nosocomial infections (85.85%). Urinary catheter-associated urinary tract infection (UC-UTI) rate was 30 per 1000 urinary catheter days and i.v. line-associated bloodstream infection (i.v. line-BSI) rate was 17 per 1000 i.v. line days. Comparison of incidence rates of UC-UTI and i.v. line-BSI in Ghotbeddin Hospital and NNIS showed that rate of infection to be higher in Ghotbeddin Hospital while device utilization ratio (urinary catheter and central line) was higher in the NNIS hospitals. To reduce the rate of infection at Ghotbeddin Burn Center, education, development of standardized guidelines for the use of invasive devices and introduction of a nosocomial infections surveillance system are necessary.

Adult↗