CRBSI

Power Hour Breakout

C5 — Incidence, Risks and Outcomes of Primary Bloodstream and Local Infections: Prospective Data from 12,638 Peripheral Intravenous Catheters

Saturday, September 15
3:15 PM - 4:15 PM
Location: C150
Presentation CE Credits: 1

Peripheral intravenous catheters (PIVs) are recognized as a potential route of healthcare associated infection. However, the actual incidence, and the risk factors are often difficult to quantify, since much of the published literature relies on retrospective reviews of surveillance databases. Such databases rarely have denominator data on the total number of PIVs used in the organisation, rely on data from hospital records which may be missing e.g. dates of insertion/removal, and use surveillance rather than diagnostic definitions .To address this gap in knowledge, we extracted and synthesized data from ten prospective research studies in Australia where infection endpoints were collected rigorously for all 11,487 PIVs by trained research nurses, with blinded outcome assessments by infectious diseases physicians using NHSN definitions. We outline the typical care patterns, products and policies in use in the participating hospitals. In addition we describe the clinical impact on patients who developed PIV-associated infections, and consider risk factors which may have been avoided.


 

Learning Objectives:

Claire M. Rickard, RN, BN, GradDipN(CritCare), PhD, FACN, FAHMS

Principal Director, Alliance for Vascular Access Teaching and Research (AVATAR) Group
Griffith University

Dr Claire Rickard RN PhD established the Alliance for Vascular Access Teaching and Research (AVATAR) Group (www.avatargroup.org.au) at Griffith University, Australia in 2007. AVATAR is a network of researchers and clinicians who generate and implement high-level evidence, and publish monthly in the scientific literature. A Professor of Nursing, she also holds honorary positions at several partner hospitals, and the University of Manchester (UK). Her research goal is for patients to receive only one vascular access device, inserted painlessly, and have it remain comfortable and complication-free throughout therapy. Dr Rickard has over 185 academic publications including the well-publicized Lancet study on routine versus clinical indication of peripheral intravenous catheters. Her achievements have been honored by, among others, the International Nurse Researcher Hall of Fame, and the Australian Academy of Health and Medical Sciences.

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C5 — Incidence, Risks and Outcomes of Primary Bloodstream and Local Infections: Prospective Data from 12,638 Peripheral Intravenous Catheters

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