23 February

Catheter Complications 2013

Özet :

Peripheral intravenous catheters (PIVCs) are the most commonly used invasive devices (150 million/year in the USA). In Spain, nearly 50% of inpatients receive an intravenous catheter, almost 95% of which are peripheral. PIVCs have been recognized as a source of Staphylococcus aureus bacteraemia in 12 e 50% of all catheter-related bloodstream infections (CRBSI), and are the cause of considerable morbidity and mortality, prolonged hospital stay and an increased cost of up to €3700 per episode.

It has been reported that nearly half of PIVC-related baceraemias are associated with phlebitis, which is the most important complication of PIVCs (approximately 20% ofpatients).

Catheter-related complication (CRC) rates are thought to be associated with the length of time that the catheter remains in the vein (indwell time). The timelines for routine replacement have been the subject of controversy and uncertainty. Over the years, and, most recently, to they have increased from 48 h to 72 h 96 h.However, such recommendations are based primarily on dated studies (1975, 1987 and 1998 ) that did not take recent manufacturing changes in PIVC technology into account.

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