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Evid Based Nurs 12:19 doi:10.1136/ebn.12.1.19
  • Treatment

Clinically indicated and routine replacement of peripheral intravenous catheters did not differ for catheter failure

J Webster

Ms J Webster, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia; joan_webster@health.qld.gov.au

QUESTION

In hospital inpatients, is clinically indicated replacement of peripheral intravenous (IV) catheters better than routine replacement for catheter failure due to phlebitis or infiltration?

METHODS

Design:

randomised controlled trial (RCT).

Allocation:

concealed.

Blinding:

{unblinded}.*

Follow-up period:

up to 5 consecutive catheters for each patient.

Setting:

general tertiary hospital in Queensland, Australia.

Patients:

755 medical and surgical inpatients ⩾18 years of age (mean age 59 y, 64% men) who were expected to have a peripheral venous catheter for ⩾4 days. Exclusion criteria were bacteraemia or current immunosuppressive therapy.

Intervention:

379 patients were allocated to catheter replacement only when clinically indicated and 376 to routine catheter replacement every 3 …

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