Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: A stepped wedge cluster randomised trial

BMC Medicine

Volumn 18, Issue 1, 2020, Pages

  Keogh, Samantha ^a,b,c   Shelverton, Caroline ^b,c   Flynn, Julie ^a,b   Mihala, Gabor ^b,d   Mathew, Saira ^a   Davies, Karen M ^c,e   Marsh, Nicole ^a,b,c   Rickard, Claire M ^b,c  

^a QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

^b GRIFFITH UNIVERSITY   (Australia)

^c ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^d GRIFFITH UNIVERSITY   (Australia)

^e UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Catheter related infection; Evidence based practice; Flushing; Peripheral intravenous catheter; Randomised trial

Indexed keywords

ALCOHOL; ANTIBIOTIC AGENT; CHLORHEXIDINE; SODIUM CHLORIDE;

ADULT; ADVERSE EVENT; ARTICLE; BLOODSTREAM INFECTION; CATHETER COMPLICATION; CATHETER DISLODGEMENT; CATHETER INFECTION; CATHETER INFILTRATION; CATHETER OCCLUSION; CLINICAL EFFECTIVENESS; CLINICAL OUTCOME; CLINICAL PRACTICE; CLINICIAN; CLUSTER ANALYSIS; CONTROLLED STUDY; COST BENEFIT ANALYSIS; CROSS-SECTIONAL STUDY; CROSSOVER PROCEDURE; EVIDENCE BASED MEDICINE; FEMALE; HEALTH CARE COST; HEALTH EDUCATION; HOSPITAL DEPARTMENT; HOSPITAL PATIENT; HUMAN; HUMAN CELL; INTERVENTION STUDY; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MEDICAL PROCEDURES; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT MONITORING; PHLEBITIS; PHYSICIAN; PRACTICE GUIDELINE; QUEENSLAND; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; SHORT PERIPHERAL INTRAVENOUS CATHETER FLUSHING; SURGICAL WARD; CATHETERIZATION; DEVICES; MIDDLE AGED;

CATHETERIZATION, PERIPHERAL; FEMALE; GUIDELINES AS TOPIC; HUMANS; MALE; MIDDLE AGED;

EID: 85092288945     PISSN: None     EISSN: 17417015     Source Type: Journal    
DOI: 10.1186/s12916-020-01728-1     Document Type: Article

References (30)

1. Zingg W, Pittet D. Peripheral venous catheters: An under-evaluated problem. Int J Antimicrob Agents. 2009;34:S38-42.
2. Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, Lin F, Alberto L, Mermel L, Rickard CM et al: Use of short peripheral intravenous catheters: Characteristics, management, and outcomes worldwide. J Hosp Med. 2018;13(5). https://doi.org/10.12788/jhm.3039.
3. O'Grady NP, Alexander M, Burns LA, et al. Guidelines for prevention of intravascular catheter related infectons. Clin Infect Dis. 2011;52(9):e162-93.
4. Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: A systematic review of 200 published prospective studies. Mayo Clin Proc. 2006;81(9):1159-71.
5. Rickard CM, Webster J, Wallis MC, Marsh N, McGrail MR, French V, Foster L, Gallagher P, Gowardman JR, Zhang L, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: A randomised controlled equivalence trial. Lancet. 2012;380(9847):1066-74.
6. Marsh N, Webster J, Ullman A, Mihala G, Cooke M, Rickard C. How often are patients experiencing local and catheter-related bloodstream infections within an adult population? A systematic review of peripheral venous catheter complications and failure. Infect Dis Health. 2018;23:S12.
7. Tuffaha HW, Rickard CM, Webster J, Marsh N, Gordon L, Wallis M, Scuffham PA. Cost-effectiveness analysis of clinically indicated versus routine replacement of peripheral intravenous catheters. Appl Health Econ Health Policy. 2014;12(1):51-8.
8. Global market overview for vascular acceess devices and accessories 2012-2022. In. Buranby, BC: Medview; 2016.
9. Infusion Nurses Society: Infusion Nursing Standards of Practice. J of Inf Nurs. 2016;39(1S):169 pages.
10. Royal College of Nursing. Standard for Infusion Therapy. 4th ed. London: RCN; 2016.
11. Goossens GA. Flushing and locking of venous catheters: Available evidence and evidence deficit. Nurs Res Prac. 2015;2015. https://doi.org/10.1155/2015/985686.
12. de Sousa Salgueiro Oliveira A, dos Santos Costa PJ, Garcia Nascimento Graveto JM, Gama Costa FJ, de Almeida Osorio NI, Timoteo Carvaheira AS, Dinis Parreira PM. Nurses' peripheral intravenous catheter-related practices: A descriptive study. Revista de Enfermagem Referencia. 2019;IV(21):111-20.
13. Keogh S, Flynn J, Marsh N, Higgins N, Davies K, Rickard CM. Nursing and midwifery practice for maintenance of vascular access device patency. A cross-sectional survey. Int J Nurs Stud. 2015;52(11):1678-85.
14. Keogh S, Shelverton C, Flynn J, Davies K, Marsh N, Rickard C. An observational study of nurses' intravenous flush and medication practice in the clnical setting. Vasc Access. 2017;3(1):3-10.
15. Hemming K, Haines TP, Chilton PJ, Girling AJ, Lilford RJ. The stepped wedge cluster randomised trial: Rationale, design, analysis, and reporting. BMJ. 2015;350:h391.
16. Hemming K, Lilford R, Girling AJ. Stepped-wedge cluster randomised controlled trials: A generic framework including parallel and multiple-level designs. Stat Med. 2015;34(2):181-96.
17. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)- A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-81.
18. Freemantle N, Calvert M, Wood J, Eastaugh J, Griffin C. Composite outcomes in randomized trials: Greater precision but with greater uncertainty? JAMA. 2003;289(19):2554-9.
19. Keogh S, Marsh N, Higgins N, Davies K, Rickard C. A time and motion study of peripheral venous catheter flushing practice using manual and prefilled flush syringes. J Inf Nurs. 2014;37(2):96-101.
20. Rickard CMM, N.;Webster, J.;Runnegar, N.;Larsen, E.;McGrail, M. R.;Fullerton, F.;Bettington, E.;Whitty, J. A.;Choudhury, M. A.;Tuffaha, H.;Corley, A.;McMillan, D. J.;Fraser, J. F.;Marshall, A. P.;Playford, E. G.: Dressings and securements for the prevention of peripheral intravenous catheter failure in adults (SAVE): A pragmatic, randomised controlled, superiority trial. Lancet 2018, 392(10145):419-430.
21. Hemming K, Girling A. A menu driven facility for power and detecable-difference calculations in stepped-qedge cluster randomized trials. Stata J. 2014;14(2):363-80.
22. Chen Y, Yang K, Marusic A, Qaseem A, Meerpohl JJ, Flottorp S, Akl EA, Schunemann HJ, Chan ES, Falck-Ytter Y, et al. A reporting tool for practice guidelines in health care: The RIGHT statement. Ann Intern Med. 2017;166(2):128-32.
23. Ng ES, BGrieve R, Carpenter JR. Two-stage nonparametric bootstrap sampling with shrinkage correction for clustered data. Stata J. 2013;13(1):141-64.
24. Ista E, van der Hoven B, Kornelisse RF, van der Starre C, Vos MC, Boersma E, Helder OK. Effectiveness of insertion and maintenance bundles to prevent central-line-associated bloodstream infections in critically ill patients of all ages: A systematic review and meta-analysis. Lancet Infect Dis. 2016;16(6):724-34.
25. Ray-Barruel G, Xu H, Marsh N, Cooke M, Rickard CM. Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review. Infect Dis Health. 2019;24(3):152-68.
26. Lavallee JF, Gray TA, Dumville J, Russell W, Cullum N. The effects of care bundles on patient outcomes: A systematic review and meta-analysis. Implement Sci. 2017;12(1):142.
27. Tian L, Zhou T, MA A, Liu Q: [The clinical effectiveness of pre-filled saline syringes. A Meta-analysis]. Chinese Nurs Manag. 2017;17(11):1545-55.
28. Saliba P, Cuervo G, Hornero A, De Carli G, Marani A, Puro V, Felisa Lopez A, Iftimie S, Castro A, Diaz-Brito Fernandez V, et al. The impact of flushing with pre-filled saline syringes on the incidence of peripheral venous catheter failure: A quasi-experimental study. J Vasc Access. 2020;21(4):490-6. https://doi.org/10.1177/1129729819888423.
29. Ray-Barruel G, Cooke M, Chopra V, Mitchell M, Rickard CM. The I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: A clinimetric evaluation. BMJ Open. 2020;10(1):e035239.
30. Vendramim P, Ferreire Machado AVelar A, Rickard CM, da Luz Goncalves Pedreira M: The RESPECT trial-Replacement of peripheral intravenous catheters according to clinical reasons or every 96 hours: A randomized, controlled, non-inferiority trial. Int J Nurs Stud. 2020;107(Article10350). https://doi.org/10.1016/j.ijnurstu.2019.103504.