학술논문
Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study.
Document Type
Academic Journal
Author
Parreira P; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. parreira@esenfc.pt.; Serambeque B; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. beatrizprazserambeque@esenfc.pt.; Costa PS; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. paulocosta@esenfc.pt.; Mónico LS; IPCDVS, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal. lisete.monico@fpce.uc.pt.; Oliveira V; Institute for Biomedicine-iBiMED, University of Aveiro, 3810-193 Aveiro, Portugal. vaniasoliveira19@gmail.com.; Sousa LB; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. baptliliana@esenfc.pt.; Gama F; Coimbra Hospital and Universitary Centre (CHUC), 3004-561 Coimbra, Portugal. 5250@chuc.min-saude.pt.; Bernardes RA; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. rafaelalvesbernardes@esenfc.pt.; Adriano D; Coimbra Hospital and Universitary Centre (CHUC), 3004-561 Coimbra, Portugal. dapa1986@gmail.com.; Marques IA; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. inesafmarques@gmail.com.; Braga LM; Nursing Department, Federal University of Viçosa, Viçosa 36570-900, Brazil. luciene@daskaleas.com.; Graveto J; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. jgraveto@esenfc.pt.; Osório N; Department of Biomedical Laboratory Sciences, Coimbra Health School (ESTeSC), Polytechnic Institute of Coimbra, 3046-854 Coimbra, Portugal. nadia.osorio@estescoimbra.pt.; Salgueiro-Oliveira A; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal. anabela@esenfc.pt.
Source
Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
Subject
Language
English
Abstract
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.