Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-14T04:21:31.801Z Has data issue: false hasContentIssue false

Two-Year Trends of Peripherally Inserted Central Catheter-Line Complications at a Tertiary-Care Hospital Role of Nursing Expertise

Published online by Cambridge University Press:  02 January 2015

Duane Funk
Affiliation:
Department of Medical Microbiology, Winnipeg, Manitoba, Canada
Janet Gray
Affiliation:
University of Manitoba, and St Boniface General Hospital, Winnipeg, Manitoba, Canada
Pierre J. Plourde*
Affiliation:
Department of Medical Microbiology, Winnipeg, Manitoba, Canada University of Manitoba, and St Boniface General Hospital, Winnipeg, Manitoba, Canada
*
Medical Officer of Health, Winnipeg, Regional Health Authority, 1800-155 Carlton St, Winnipeg, Manitoba R3C 4Y1, Canada

Abstract

We found reductions in peripherally inserted central catheter (PICC) complication rates over 2 years of observation (20.4 vs 13.8/1,000 line-days; relative risk, 0.5-0.9). This difference represents a cost saving due to reduced line reinsertions and reduced use of thrombolytic agents. The presence of a dedicated PICC insertion nursing team and education of ward nurses in PICC maintenance is a plausible explanation for the observed differences.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Abi-Nader, JA. Peripherally inserted central venous catheters in critical care patients. Heart and Lung 1993;22:428434.Google Scholar
2.Lam, S, Scannell, R, Roessler, D, Smith, MA. Peripherally inserted central catheters in an acute care hospital. Arch Intern Med 1994;154:18331837.Google Scholar
3.Grahm, DR, Keldermans, MM, Klemm, LW, Semenza, NJ, Shafer, ML. Infectious complications among patients receiving home intravenous therapy with peripheral, central, or peripherally placed central venous catheters. Am J Med 1991;91(suppl 3B):95S100S.Google Scholar
4.Goodwin, ML, Carlson, I. The peripherally inserted central catheter a retrospective look at three years of insertions. J Intraven Nurs 1993;16:92103.Google Scholar
5.Smith, JR, Friedell, ML, Cheatham, ML, Martin, SP, Cohen, MJ, Horowitz, JD. Peripherally inserted central catheters revisited. Am J Surg 1998;176:208211.CrossRefGoogle ScholarPubMed
6.Puntis, JW, Holden, CE, Smallman, S, Finkel, Y, George, RH, Booth, IW. Staff training: a key factor in reducing intravascular catheter sepsis. Arch Dis Child 1991;60:335337.Google Scholar
7.Duerksen, DR, Papineau, N, Siemens, J, Yaffe, C. Peripherally inserted central catheters for parenteral nutrition: a comparison with centrally inserted catheters. JPEN J Parenter Enteral Nutr 1999;23:8589.Google Scholar