Management of Central Venous Access Device-Associated Skin Impairment: An Evidence-Based Algorithm

Journal of Wound, Ostomy and Continence Nursing

Volumn 44, Issue 3, 2017, Pages 211-220

  Broadhurst, Daphne ^a   Moureau, Nancy ^b,c,d   Ullman, Amanda J ^d,e  

^a Pro Medical Pharmacy   (Canada)

^b PICC Excellence Inc   (United States)

^c GREENVILLE HOSPITAL SYSTEM   (United States)

^d GRIFFITH UNIVERSITY   (Australia)

^e GRIFFITH UNIVERSITY   (Australia)

Author keywords

Algorithm; Central venous access device (CVAD); Central venous catheterization; CVAD associated skin impairment (CASI); Medical adhesive related skin injury; Moisture associated skin damage

Indexed keywords

CHLORHEXIDINE; CHLORHEXIDINE GLUCONATE; TOPICAL ANTIINFECTIVE AGENT;

ADVERSE EFFECTS; ALGORITHM; ANALOGS AND DERIVATIVES; CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETER; CLINICAL DECISION SUPPORT SYSTEM; CONSENSUS; EVIDENCE BASED NURSING; HUMAN; INFECTION CONTROL; INJURIES; MICROBIOLOGY; NURSING; PROCEDURES; REPRODUCIBILITY; SKIN; SKIN CARE; STANDARDS;

ALGORITHMS; ANTI-INFECTIVE AGENTS, LOCAL; CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETERS; CHLORHEXIDINE; CONSENSUS; DECISION SUPPORT SYSTEMS, CLINICAL; EVIDENCE-BASED NURSING; HUMANS; INFECTION CONTROL; REPRODUCIBILITY OF RESULTS; SKIN; SKIN CARE;

EID: 85016438080     PISSN: 10715754     EISSN: None     Source Type: Journal    
DOI: 10.1097/WON.0000000000000322     Document Type: Article

References (41)

1. Ullman AJ, Marsh N, Mihala G, Cooke M, Rickard CM,. Complications of central venous access devices: A systematic review. Pediatrics. 2015; 136 (5): E1331-e1344.
2. Thayer D,. Skin damage associated with intravenous therapy: Common problems and strategies for prevention. J Infus Nurs. 2012; 35 (6): 390-401.
3. Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2016; 39 (1): S1-S159.
4. Ullman AJ, Cooke ML, Mitchell M, Dressings and securement devices for central venous catheters (CVC). Cochrane Database Syst Rev. 2015; 9: CD010367.
5. O'Grady NP, Alexander M, Burns LA, Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011; 52 (9): E162-e193.
6. Wall JB, Divito SJ, Talbot SG,. Chlorhexidine gluconate-impregnated central-line dressings and necrosis in complicated skin disorder patients. J Crit Care. 2014; 29 (6): 1130.e1-1130.e4.
7. McNichol L, Lund C, Rosen T, Gray M,. Medical adhesives and patient safety: State of the science: Consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. Orthop Nurs. 2013; 32 (5): 267-281.
8. Kutzscher L,. Management of irritant contact dermatitis and peripherally inserted central catheters. Clin J Oncol Nurs. 2012; 16 (2): E48-E55.
9. LeBlanc K, Baranoski S,. Skin tears: State of the science: Consensus statements for the prevention, prediction, assessment, and treatment of skin tears(c). Adv Skin Wound Care. 2011; 24 (9)(suppl): 2-15.
10. Farris MK, Petty M, Hamilton J, Walters SA, Flynn MA,. Medical adhesive-related skin injury prevalence among adult acute care patients: A single-center observational study. J Wound Ostomy Continence Nurs. 2015; 42 (6): 589-598.
11. Broadhurst D, Moureau N, Ullman AJ,. Central venous access devices site care practices: An international survey of 34 countries. J Vasc Access. 2016; 17 (1): 78-86.
12. Levac D, Colquhoun H, O'Brien KK,. Scoping studies: Advancing the methodology. Implement Sci. 2010; 5 (1): 69.
13. Hasson F, Keeney S, McKenna H,. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000; 32 (4): 1008-1015.
14. Vernon W,. The Delphi technique: A review. Int J Ther Rehabil. 2009; 16 (2): 69-76.
15. DeVon HA, Block ME, Moyle-Wright P, A psychometric toolbox for testing validity and reliability. J Nurs Scholarsh. 2007; 39 (2): 155-164.
16. Fields A,. Discovering Statistics Using SPSS. 2nd ed. London, UK: SAGE Publications; 2009.
17. Bourke J, Coulson I, English J,. Guidelines for the management of contact dermatitis: An update. Br J Dermatol. 2009; 160 (5): 946-954.
18. Mermel LA, Allon M, Bouza E, Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2009; 49 (1): 1-45.
19. Infusion Nurses Society. Infusion Nursing Standards of Practice. J Infus Nurs. 2011; 34 (1S): S1-S56.
20. Kramer N, CVAD guidelines for home infusion: Creating a resource to address out unique site of care for adult patients. Infusion. 2011; 17 (4): 29-36.
21. Royal College of Nursing. Standards for Infusion Therapy in The RCN IV Therapy Forum. London: Royal College of Nursing; 2010.
22. Pittiruti M, Hamilton H, Biffi R, MacFie J, Pertkiewicz M, ESPEN. ESPEN guidelines on parenteral nutrition: Central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 2009; 28 (4): 365-377.
23. World Union of Wound Healing Societies. Principles of Best Practice: Wound Infection in Clinical Practice. An International Consensus. London: MEP Ltd; 2008.
24. Nikoletti S, Leslie G, Gandossi S, Coombs G, Wilson R,. A prospective, randomized, controlled trial comparing transparent polyurethane and hydrocolloid dressings for central venous catheters. Am J Infect Control. 1999; 27 (6): 488-496.
25. Brandt B, DePalma J, Irwin M, Shogan J, Lucke JF,. Comparison of central venous catheter dressings in bone marrow transplant recipients. Oncol Nurs Forum. 1996; 23 (5): 829-836.
26. Haffejee AA, Moodley J, Pillay K, Singh B, Thomson S, Bhamjee A,. Evaluation of a new hydrocolloid occlusive dressing for central catheters used in total parenteral nutrition. S Afr J Surg. 1991; 29 (4): 142-146.
27. Waterhouse D, Winterbottom J,. How a central venous catheter surveillance tool was developed for use with all ethnic groups. Nurs Times. 2010; 106 (6): 12-14.
28. Wittich E,. Maintaining an optimum haemocatheter exit site. EDTNA ERCA J. 2001; 27 (2): 81-82.
29. Timsit JF, Bouadma L, Ruckly S, Dressing disruption is a major risk factor for catheter-related infections. Crit Care Med. 2012; 40 (6): 1707-1714.
30. Mimoz O, Lucet JC, Kerforne T, Skin antisepsis with chlorhexidine-alcohol versus povidone iodine-alcohol, with and without skin scrubbing, for prevention of intravascular-catheter-related infection (CLEAN): An open-label, multicentre, randomised, controlled, two-by-two factorial trial. Lancet. 2015; 386 (10008): 2069-2077.
31. Webster J, Gillies D, O'Riordan E, Sherriff KL, Rickard CM,. Gauze and tape and transparent polyurethane dressings for central venous catheters (review). Cochrane Database Syst Rev. 2011;(11): 1-35.
32. Brown GE, Botto N, Butler DC, Murase JE,. Clinical utilization of repeated open application test among American Contact Dermatitis Society members. Dermatitis. 2015; 26 (5): 224-229.
33. Ale IS, Maibacht HA,. Diagnostic approach in allergic and irritant contact dermatitis. Expert Rev Clin Immunol. 2010; 6 (2): 291-310.
34. Ullman AJ, Cooke M, Rickard C,. Examining the role of securement and dressing products to prevent central venous access device failure: A narrative review. J Assoc Vasc Access. 2015; 20 (2): 99-110.
35. Hjermstad MJ, Fayers PM, Haugen DF, Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: A systematic literature review. J Pain Symptom Manage. 2011; 41 (6): 1073-1093.
36. Reich A, Heisig M, Phan NQ, Visual analogue scale: Evaluation of the instrument for the assessment of pruritus. Acta Derm Venereol. 2012; 92 (5): 497-501.
37. Langner MD, Maibach HI,. Pruritus measurement and treatment. Clin Exp Dermatol. 2009; 34 (3): 285-288.
38. Shekelle PG, Woolf SH, Eccles M, Grimshaw J,. Developing guidelines. BMJ. 1999; 318 (7183): 593-596.
39. Woolf S, Schünemann HJ, Eccles MP, Grimshaw JM, Shekelle P,. Developing clinical practice guidelines: Types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations. Implement Sci. 2012; 7: 61.
40. Ullman AJ, Cooke M, Kleidon T, Kleidon T,. Road map for improvement: Point prevalence audit and survey of central venous access devices in paediatric acute care. J Paediatr Child Health. 2017; 53 (2): 123-130.
41. Timsit J, Schwebel C, Bouadma L, Chlorhexidine-impregnated sponges and less frequent dressing changes for prevention of catheter related sepsis in critically ill adults: A randomized controlled trial. JAMA. 2009; 301 (12): 1231-1241.