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Adult nursing
Best practice for peripheral intravenous catheter replacement
  1. Paige Hacker Bravo
  1. Medical ICU, Duke University Hospital, Durham, North Carolina, USA
  1. Correspondence to Paige Hacker Bravo, Duke University Hospital, Durham, NC 27710, USA; hackerp99{at}gmail.com

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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 …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • Patient consent for publication Not required.

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