Tiny patients, tiny dressings: A guide to the neonatal PICC dressing change

Advances in Neonatal Care

Volumn 8, Issue 3, 2008, Pages 150-162

  Sharpe, Elizabeth L ^a,b  

^a St Mary's Hospital   (United States)

^b PEDIATRIX MEDICAL GROUP   (United States)

Author keywords

Catheter securement; Chlorhexidine; Dressing change; Dressing material; Neonatal; Peripherally inserted central catheter; PICC; PICC dressing; Sterile barrier

Indexed keywords

ANTIINFECTIVE AGENT;

ARTICLE; BANDAGE; CATHETERIZATION; CENTRAL VENOUS CATHETERIZATION; DOCUMENTATION; HUMAN; INFECTION CONTROL; METHODOLOGY; NEWBORN; NEWBORN INTENSIVE CARE; NURSING; SKIN CARE; TOPICAL DRUG ADMINISTRATION;

ADMINISTRATION, TOPICAL; ANTI-BACTERIAL AGENTS; BANDAGES; CATHETERIZATION, CENTRAL VENOUS; CATHETERIZATION, PERIPHERAL; DOCUMENTATION; HUMANS; INFANT, NEWBORN; INFECTION CONTROL; INTENSIVE CARE UNITS, NEONATAL; INTENSIVE CARE, NEONATAL; SKIN CARE;

EID: 54049109310     PISSN: 15360903     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ANC.0000324339.79099.c2     Document Type: Article

References (74)

1. O'Grady N, Alexander M, Dellinger E, et al. Guidelines for Prevention of intravascular Catheter-Related Infections. Bethesda, MD: Centers for Disease Control and Prevention, National Institutes of Health. MMWR. 2002;51(RR-10).
2. Pettit J. Fostering a new era of VAD selection in neonates. Newborn Infant Nurs Rev. 2006;6:186-192.
3. Ellenberger A. How to change a PICC dressing. Nursing. 2002;32(2):50-52.
4. Potter P, Perry A. Fundamentals of Nursing. 6th ed. Philadelphia, PA: Mosby, Elsevier Health Sciences; 2004.
5. Rothrock J. Alexander's Care of the Patient in Surgery. 12th ed. Philadelphia, PA: Mosby, Elsevier Health Sciences Division; 2003.
6. Bowden V, Greenberg C. Pediatric Nursing Procedures. Philadelphia, PA: Lippincott Williams & Wilkins; 2003.
7. Pettit J. Assessment of infants with peripherally inserted central catheters: part 1. Detecting the most frequently occurring complications. Adv Neonatal Care. 2002;2:304-315.
8. Pettit J. Assessment of infants with peripherally inserted central catheters: part 2. Adv Neonatal Care. 2003;3:14-26.
9. Mahieu L, De Dooy J, Lenaerts A, Ieven M, De Muynck A. Catheter manipulations and the risk of catheter-associated bloodstream infection in neonatal intensive care patients. J Hosp Infect. 2001;48:20-27.
10. Cuevas K, Silver D, Brooten D, Youngblut J, Bob C. The cost of prematurity: hospital charges at birth and frequency of rehospitalizations and acute care visits over the first year of life. Am J Nurs. 2005;105(7):56-63.
11. Payne N, Carpenter J, Badger G, Horbar J, Rogowski J. Marginal increase in cost and excess length of stay associated with nosocomial bloodstream infections in surviving very low birth weight infants. Pediatrics. 2004;114:348-355.
12. Barton L, Hodgman J, Pavlova Z. Causes of death in the extremely low birth weight infant. Pediatrics. 1999;103:446-451.
13. Adams-Chapman I, Stoll B. Prevention of nosocomial infections in the neonatal intensive care unit. Curr Opin Pediatr. 2002;14:157-164.
14. Pettit J, Wyckoff MM. NANN (National Association of Neonatal Nurses) Peripherally Inserted Central Catheters Guideline for Practice. 2nd ed. Glenview, IL: National Association of Neonatal Nurses; 2007.
15. Pettit J. Assessment of the infant with a peripheral IV. Adv Neonatal Care. 2003;3:230-240.
16. Infusion Nurses Society. Infusion nursing standards of practice. J Infusion Nurs. 2006;29(1S):S1-S92.
17. Rutter N. Clinical consequences of an immature barrier. Semin Neonatol. 2000;5:281-287.
18. Zenk K, Gerbasi J, Summerl E, Sills J, Mackie G, Thrupp L. Central venous catheterization in neonates: pilot evaluation of long-term transparent dressings. Neonatal Pharmacol Q. 1993;2:25-30.
19. Aly H, Herson V, Duncan A, et al. Is bloodstream infection preventable among premature infants? A tale of two cities. Pediatrics. 2005;115:1513-1518.
20. Clifford P. CR-BSI care bundles protect neonates. Nursing 2006 Crit Care. 2006;1(2):12-14.
21. Trotter C. A national survey of percutaneous central venous catheter practices in neonates. Neonatal Netw. 1998;17(6):31-38.
22. Evans M, Lentsch D. Percutaneously inserted polyurethane central catheters in the NICU: one unit's experience. Neonatal Netw. 1999;18(6):37-46.
23. Gantz N, Presswood G, Goldberg R, Doern G. Effects of dressing type and change interval on intravenous therapy complication rates. Diagn Microbiol Infect Dis. 1984;2:325-332.
24. Gillies D, O'Riordan E, Carr D, O'Brien I, Frost J, Gunning R. Central venous catheter dressings: a systematic review. J Adv Nurs. 2003;44:623-632.
25. Maki D, Ringer M. Evaluation of dressing regimens for prevention of infection with peripheral intravenous catheters: gauze, a transparent polyurethane dressing, and an iodophor-transparent dressing. J Am Med Assoc. 1987;258:2396-2403.
26. Darmstadt G, Dinulos J. Pediatric dermatology. Pediatr Clin N Am. 2000;47: 757-782.
27. Tripepi-Bova K, Woods K, Loach M. Few patients dislodged peripheral intravenous catheters with transparent dressings than with gauze dressings. Am J Crit Care. 1998;6:377-381.
28. Treston-Aurand J, Olmsted R, Allen-Bridson K, Craig C. Impact of dressing materials on central venous catheter infection rates. J Intraven Nurs. 1997;20:201-206.
29. Garland J, Alex C, Mueller C, et al. A randomized trial comparing povidone-iodine to a chlorhexidine gluconate-impregnated dressing for prevention of central venous catheter infections in neonates. Pediatrics. 2001;107:1431-1436.
30. Prielipp R, Sherertz R. Skin: the first battlefield. Anesth Analg. 2003;97:933-935.
31. Levy I, Katz J, Solter E, et al. Chlorhexidine-impregnated dressing for prevention of colonization of central venous catheters in infants and children: a randomized controlled study. Pediatr Infect Dis J. 2005;24:676-679.
32. Sharpe E. Informal survey; 2007.
33. Khattak A, Arnold C, Ngo T, Ross R, Shoemaker C. A Pilot Randomized Controlled Trial of the Safety of Silver Alginate (Algidex) Patches in Very Low Birth Weight (VLBW) Infants with Central Lines. Ballas, TX: Baylor University Medical Center; 2007.
34. Algidex Ag I.V. Patch Product Information. Powell, TX: DeRoyal; 2007.
35. Biopatch product information. www.biopatch.com. Published 2007. Accessed October 25, 2007.
36. AORN. Association of Perioperative Registered Nurses Standards, Recommended Practices, and Guidelines. Denver, CO: Association of Perioperative Registered Nurses; 2004.
37. Rickard C, Courtney M, Webster J. Central venous catheters: a survey of ICU practices. J Adv Nurs. 2004;48:247-256.
38. Chaiyakunapruk N, Veenstra D, Lipsky B, Saint S. Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: a meta-analysis. Ann Intern Med. 2002;136:792-801.
39. Aly H. Electronic Communication; 2007.
40. Pediqualc. Paper presented at: Pediatrix Pediqualc Quality Improvement Collaborative; 2006; Seattle, WA.
41. Hu K, Lipsky B, Veenstra D, Saint S. Using maximal sterile barriers to prevent central venous catheter-related infection: a systematic evidence-based review. Am J Infect Control. 2004;32:142-146.
42. MacDonald M, Ramasethu J. Atlas of Procedures in Neonatology. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007.
43. Gutierrez K. Pharmacotherapeutics: Clinical Decision Making in Nursing. Philadelphia, PA: WB Saunders Company; 1999.
44. MacDonald M, Ramasethu J. Atlas of Procedures in Neonatology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2002.
45. Parravicini E, Fontana C, Paterlini G, et al. Iodine, thyroid function and very low birth weight infants. Pediatrics. 1996;98:730-734.
46. Leawood S. Enturia Chloraprep Instructions for Use; 2007.
47. Medi-Flex I. Chloraprep Clinical Compendium; 2005.
48. Hibbard J. Analyses comparing the antimicrobial activity and safety of current antiseptic agents: a review. J Infusion Nurs. 2005;28:194-202.
49. IHI. Improvement IfH. Central Line Bundle; www.ihi.org 2005. Accessed June 1, 2007.
50. CPQCC. California Perinatal Quality Care Collaborative Quality Improvement Toolkit: Neonatal Hospital-Acquired Infection Prevention: Neonatal Perspectives, Practices and Priorities. June 15, 2007. Palo Alto, CA.
51. Maki D, Ringer M, Alvarado C. Prospective randomised trial of povidone-iodine, alcohol and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet. 1991;338:339-343.
52. Chaiyakunapruk N, Veenstra D, Lipsky B, Sullivan S, Saint S. Vascular catheter site care: the clinical and economic benefits of chlorhexidine gluconate compared with povidone iodine. Clin Infect Dis. 2003;37:764-771.
53. Lund C, Kuller J, Lane A, Lott JW, Raines DA. Neonatal skin care: the scientific basis for practice. Neonatal Netw. 1999;18(4):15-27.
54. Garland J, Buck R, Maloney P, et al. Comparison of 10% povidone-iodine and 0.5% chlorhexidine gluconate for the prevention of peripheral intravenous catheter colonization in neonates: a prospective trial. Pediatr Infect Dis J. 1995;14:510-516.
55. Mullany L, Darmstadt G, Tielsch J. Safety and impact of chlorhexidine antisepsis interventions for improving neonatal health in developing countries. Pediatr Infect Dis J. 2006;25:665-675.
56. Baker S, Smith B, Donohue P, Gleason C. Skin care management practices for premature infants. J Perinatol. 1999;19:426-431.
57. Siegfried E, Shah P. Skin care practices in the neonatal nursery: a clinical survey. J Perinatol. 1999;19:31-39.
58. Malathi I, Millar M, Leeming J, Hedges A, Marlow N. Skin disinfection in preterm infants. Arch Dis Child. 1993;69:312-316.
59. Crnich C, Halfmann J, Crone W, Maki D. The Effects of Prolonged Ethanol Exposure on the Mechanical Properties of Polyurethane and Silicone Catheters Used for Intravascular Access. Infection Control Hospital Epidemiology. August 2005;26:708-714.
60. Hanchett M. The emerging science of IV securement. J Vascular Access Devices. 1999;4(3):9-14.
61. Wood D. A comparative study of two securement techniques for short peripheral intravenous catheters. J Intraven Nurs. 1997;20:280-285.
62. Frey AM. What's the best way to secure a catheter? Nursing. 2006;36(9):30-31.
63. Frey AM. Why are we stuck on tape and suture? J Infusion Nurs. 2006;29(1):34-38.
64. Frey AM, Schears G. Dislodgement rates and impact of securement methods for peripherally inserted central catheters (PICCs) in children. Pediatr Nurs. 2001;27:185-190.
65. Frey AM. PICC complications in neonates & children. J Vascular Access Devices. 1999:17-26.
66. Symington A, Pinelli J. Distilling the evidence of developmental care: a systematic review. Adv Neonatal Care. 2002;2:198-221.
67. American Academy of Pediatrics, Society CP (Canadian Pediatric). Prevention and management of pain in the neonate: an update. Pediatrics. 2006;1 18:2231-2241.
68. Gibbins S, Stevens B. State of the art: pain assessment and management in high- risk infants. Newborn Infant Nurs Rev. 2001;1(2):85-96.
69. Golombek S, Rohan A, Parvez B, Salice A, LaGamma E. "Proactive" management of percutaneously inserted central catheters results in decreased incidence of infection in the elbow population. J Perinatol. 2002;22:209-213.
70. Sherrod J, Warner B, Altimier L. Designing and monitoring an RN-based PICC team. Neonatal Intensive Care. 2005;18(4):9-11.
71. Sharpe E. Developing a nurse directed peripherally inserted central catheter team in the neonatal intensive care unit. Newborn Infant Nurs Rev. 2006;6(4): 225-229.
72. Services DoHHSCfMaM. Medicare program; proposed changes to the hospital inpatient prospective payment systems and fiscal year 2008 rates. http://www.cms.hhs.gov/AcuteInpatientPPS/downloads/CMS-1533-P.pdf. Accessed February 28, 2008.
73. JCAHO. Hospital/critical access national patient safety goals. http://www.jomtcommission.org/PatientSafety/NationalPatientSafetyGoals/ 08-cah-npsgs.htm. Accessed February 24, 2008.
74. Taylor C, Lillis C, LeMone P, Lynn P. Fundamentals of Nursing: The Art and Science of Nursing Care. 6th ed. Philadelphia: Lippincott Williams & Williams; 2008.