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Best practice for peripheral intravenous catheter replacement

Por: Hacker Bravo · P.

Commentary on: Webster J, Osborne S, Rickard CM, et al. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database Syst Rev 2019;1:CD007798.

Implications for practice and research

  • No difference was found in rates of catheter-related bloodstream infections (CRBSI), thrombophlebitis, pain or mortality between routine and clinically indicated peripheral intravenous catheter (PIVC) removal and replacement.

  • Routine PIVC change does decrease infiltration and catheter occlusion.

  • Clinically indicated catheter exchange may be a cost-saving measure for healthcare systems.

  • Context

    PIVCs are the most common invasive procedure with each patient receiving an average of two PIVCs during their admission.1 This common device, however, increases risk for BSI/CRBSI with a mortality rate of 12%–25%.2 Many institutions disagree on what best practice recommendations should be. Many institutions including the Centers for Disease Control support the routine removal of PIVCs as a method to decrease the risk...

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