Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/107029 https://doi.org/10.3390/ijerph16183301 |
Resumo: | Reusable tourniquets and conventional securement dressings are considered risk factors for the occurrence of reported complications and catheter-related bloodstream infections. This study's purpose is to assess the impact of single-use disposable tourniquets and advanced occlusive polyurethane dressings with reinforced cloth borders on peripheral intravenous catheter (PIVC)-related complications and contamination. A pre- and post-interventional prospective observational study was conducted in a cardiology ward of a tertiary hospital between April 2018 and February 2019. Overall, demographic and clinical data from 156 patients and PIVC-related outcomes were collected (n = 296) as well as PIVC tips for microbiological analysis (n = 90). In the pre-intervention phase (n = 118), complication rates of 62.1% were reported, while 44.1% of the PIVCs were contaminated (n = 34). In the post-intervention phase (n = 178), complication rates decreased to 57.3%, while contamination rates significantly decreased to 17.9% (p = 0.014; n = 56). Through a logistic regression, it was found that the use of innovative technologies reduces the chance of PIVC contamination by 79% (odds ratio (OR): 0.21; 95% confidence interval (CI): 0.05-0.98; p = 0.046). Meanwhile, PIVC-related complications and fluid therapy emerged as predictors for PIVC contamination. Findings suggest that the adoption of these innovative devices in nurses' practice contributes to the significant reduction of PIVC contamination. |
id |
RCAP_e4fb129872bb186f6d49f2a331a2e142 |
---|---|
oai_identifier_str |
oai:estudogeral.uc.pt:10316/107029 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Studycatheter-related bloodstream infectionscomplicationscontaminationinfection preventionnursingocclusive dressingsAdultAgedAged, 80 and overCatheter-Related InfectionsCatheterization, PeripheralFemaleHumansMaleMiddle AgedPolyurethanesProspective StudiesRisk FactorsTertiary Care CentersBandagesTourniquetsReusable tourniquets and conventional securement dressings are considered risk factors for the occurrence of reported complications and catheter-related bloodstream infections. This study's purpose is to assess the impact of single-use disposable tourniquets and advanced occlusive polyurethane dressings with reinforced cloth borders on peripheral intravenous catheter (PIVC)-related complications and contamination. A pre- and post-interventional prospective observational study was conducted in a cardiology ward of a tertiary hospital between April 2018 and February 2019. Overall, demographic and clinical data from 156 patients and PIVC-related outcomes were collected (n = 296) as well as PIVC tips for microbiological analysis (n = 90). In the pre-intervention phase (n = 118), complication rates of 62.1% were reported, while 44.1% of the PIVCs were contaminated (n = 34). In the post-intervention phase (n = 178), complication rates decreased to 57.3%, while contamination rates significantly decreased to 17.9% (p = 0.014; n = 56). Through a logistic regression, it was found that the use of innovative technologies reduces the chance of PIVC contamination by 79% (odds ratio (OR): 0.21; 95% confidence interval (CI): 0.05-0.98; p = 0.046). Meanwhile, PIVC-related complications and fluid therapy emerged as predictors for PIVC contamination. Findings suggest that the adoption of these innovative devices in nurses' practice contributes to the significant reduction of PIVC contamination.MDPI2019-09-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/107029http://hdl.handle.net/10316/107029https://doi.org/10.3390/ijerph16183301eng1660-4601Parreira, PedroSerambeque, BeatrizCosta, Paulo S.Mónico, LiseteOliveira, VâniaSousa, Liliana B.Gama, FernandoBernardes, Rafael A.Adriano, DavidMarques, Inês A.Braga, Luciene M.Graveto, JoãoOsório, Nádia Isabel AlmeidaSalgueiro-Oliveira, Anabelainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-05-10T09:23:37Zoai:estudogeral.uc.pt:10316/107029Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:23:24.574770Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
title |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
spellingShingle |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study Parreira, Pedro catheter-related bloodstream infections complications contamination infection prevention nursing occlusive dressings Adult Aged Aged, 80 and over Catheter-Related Infections Catheterization, Peripheral Female Humans Male Middle Aged Polyurethanes Prospective Studies Risk Factors Tertiary Care Centers Bandages Tourniquets |
title_short |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
title_full |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
title_fullStr |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
title_full_unstemmed |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
title_sort |
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study |
author |
Parreira, Pedro |
author_facet |
Parreira, Pedro Serambeque, Beatriz Costa, Paulo S. Mónico, Lisete Oliveira, Vânia Sousa, Liliana B. Gama, Fernando Bernardes, Rafael A. Adriano, David Marques, Inês A. Braga, Luciene M. Graveto, João Osório, Nádia Isabel Almeida Salgueiro-Oliveira, Anabela |
author_role |
author |
author2 |
Serambeque, Beatriz Costa, Paulo S. Mónico, Lisete Oliveira, Vânia Sousa, Liliana B. Gama, Fernando Bernardes, Rafael A. Adriano, David Marques, Inês A. Braga, Luciene M. Graveto, João Osório, Nádia Isabel Almeida Salgueiro-Oliveira, Anabela |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Parreira, Pedro Serambeque, Beatriz Costa, Paulo S. Mónico, Lisete Oliveira, Vânia Sousa, Liliana B. Gama, Fernando Bernardes, Rafael A. Adriano, David Marques, Inês A. Braga, Luciene M. Graveto, João Osório, Nádia Isabel Almeida Salgueiro-Oliveira, Anabela |
dc.subject.por.fl_str_mv |
catheter-related bloodstream infections complications contamination infection prevention nursing occlusive dressings Adult Aged Aged, 80 and over Catheter-Related Infections Catheterization, Peripheral Female Humans Male Middle Aged Polyurethanes Prospective Studies Risk Factors Tertiary Care Centers Bandages Tourniquets |
topic |
catheter-related bloodstream infections complications contamination infection prevention nursing occlusive dressings Adult Aged Aged, 80 and over Catheter-Related Infections Catheterization, Peripheral Female Humans Male Middle Aged Polyurethanes Prospective Studies Risk Factors Tertiary Care Centers Bandages Tourniquets |
description |
Reusable tourniquets and conventional securement dressings are considered risk factors for the occurrence of reported complications and catheter-related bloodstream infections. This study's purpose is to assess the impact of single-use disposable tourniquets and advanced occlusive polyurethane dressings with reinforced cloth borders on peripheral intravenous catheter (PIVC)-related complications and contamination. A pre- and post-interventional prospective observational study was conducted in a cardiology ward of a tertiary hospital between April 2018 and February 2019. Overall, demographic and clinical data from 156 patients and PIVC-related outcomes were collected (n = 296) as well as PIVC tips for microbiological analysis (n = 90). In the pre-intervention phase (n = 118), complication rates of 62.1% were reported, while 44.1% of the PIVCs were contaminated (n = 34). In the post-intervention phase (n = 178), complication rates decreased to 57.3%, while contamination rates significantly decreased to 17.9% (p = 0.014; n = 56). Through a logistic regression, it was found that the use of innovative technologies reduces the chance of PIVC contamination by 79% (odds ratio (OR): 0.21; 95% confidence interval (CI): 0.05-0.98; p = 0.046). Meanwhile, PIVC-related complications and fluid therapy emerged as predictors for PIVC contamination. Findings suggest that the adoption of these innovative devices in nurses' practice contributes to the significant reduction of PIVC contamination. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/107029 http://hdl.handle.net/10316/107029 https://doi.org/10.3390/ijerph16183301 |
url |
http://hdl.handle.net/10316/107029 https://doi.org/10.3390/ijerph16183301 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1660-4601 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799134121424846848 |