How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey.

Autor: Anstey MH; Intensive Care Department, Sir Charles Gairdner Hospital, Perth, Australia; School of Medicine, University of Western Australia. Electronic address: Matthew.Anstey@health.wa.gov.au., Maxwell N; Intensive Care Department, Sir Charles Gairdner Hospital, Perth, Australia., Rickard CM; Herston Infectious Diseases Institute, Metro North Health, RBWH Herston, QLD, 4029, Australia; School of Nursing, Midwifery and Social Work, The University of Queensland Centre for Clinical Research, RBWH Herston, QLD, 4029, Australia; Alliance for Vascular Access Teaching and Research (AVATAR), Griffith University, Nathan QLD, 4111, Australia., Hammond NE; Malcolm Fisher Department of Intensive Care, Royal North Shore Hospital, Sydney, Australia; Critical Care Division, The George Institute for Global Health, Faculty of Medicine, UNSW Sydney, Sydney, Australia., Knowles S; Critical Care Division, The George Institute for Global Health, Faculty of Medicine, UNSW Sydney, Sydney, Australia., McGain F; Western Health, Melbourne, Australia; University of Melbourne, Australia.
Jazyk: angličtina
Zdroj: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses [Aust Crit Care] 2024 May; Vol. 37 (3), pp. 495-498. Date of Electronic Publication: 2023 Jun 27.
DOI: 10.1016/j.aucc.2023.05.004
Abstrakt: Background: Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks.
Objectives: The objective of this study was to describe the current unit guidelines in Australian and New Zealand intensive care units (ICUs) for changing infusion sets for CVCs.
Methods: prospective cross-sectional point prevalence study, as a part of the 2021 Australian and New Zealand Intensive Care Society Point Prevalence Program.
Participants: Australia and New Zealand (ANZ) adult ICUs and their patients on the day of the study.
Results: Data were collected from 51 ICUs across ANZ. One-third of these (16/49) ICUs had a guideline that specified a 7-day replacement period, with the rest having a more frequent replacement period.
Conclusion: Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3-4 days, and recent high-level evidence supports an update to extend this to 7 days. There remains work to be done to spread this evidence to ANZ ICUs and improve environmental sustainability initiatives.
(Copyright © 2023 Australian College of Critical Care Nurses Ltd. All rights reserved.)
Databáze: MEDLINE
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