The safety of clinically indicated replacement or routine replacement of peripheral intravenous catheters: A randomized controlled study

Autor: Juanli Li, Yang Yali, Qinling Yang, Xuemei Zheng, Yali Sun, Yan Qu, Yi Lv, Na Xie, Xiaoling Zhou, Aifang Feng, Jianfang Jiao, Li Zhang, Hilal Mohamed Nor, Xiaoye Guo, Xia Xin, Huapeng Lu
Rok vydání: 2021
Předmět:
Zdroj: The Journal of Vascular Access. 23:436-442
ISSN: 1724-6032
1129-7298
DOI: 10.1177/1129729821998528
Popis: Objective: The primary purpose of this study was to explore the safety of peripheral intravenous catheter (PIVC) replacement every 96 h compared to that of clinically indicated catheter removal. Methods: A prospective, single-blind, randomized controlled trial was conducted. A random number table method was used. Six hundred patients treated with PIVC intravenous infusion in 10 nursing units of a hospital from September to October 2019 were selected. Sixty were collected from each nursing unit, including 30 in the clinically indicated replacement group and 30 in the routine replacement group. The incidence of phlebitis, catheter-related infection (CRI), occlusion, infiltration, and any form of infusion therapy failure were compared between the two groups. SPSS 23.0 software was used. Results: The dwelling times of PIVC in the clinically indicated replacement group and routine replacement group were significantly different (hours) (83.62 ± 50.08, 69.75 ± 25.54, t = 3.021, p = 0.003). The incidence of any form of infusion therapy failure (RR = 4.448, 95% CI: 3.158–6.265, p Conclusion: Replacement of PIVC every 96 h is safer than clinically indicated.
Databáze: OpenAIRE