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.
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.
PIVCs are the most common invasive procedure with each patient receiving an average of two PIVCs during their admission.