Peripheral intravenous catheter dwell times: a comparison of 3 securement methods for implementation of a 96-hour scheduled change protocol.
A prospective, sequential clinical trial was undertaken to determine whether any of 3 methods of peripheral IV catheter (PIV) securement could extend the average survival time of such catheters sufficiently to allow the implementation of a 96-hour PIV change-protocol. Nonsterile tape, StatLock, and Hub-Guard were evaluated. The use of nonsterile tape securement resulted in an 8% PIV survival rate, HubGuard produced a 9% PIV survival rate, and Statlock produced a 52% PIV survival rate (P<.001). Although this study was not a randomized, controlled trial, it strongly suggests that a mechanical catheter securement device, as opposed to tape or die-cut tape, can render practicable the implementation of the 96-hour PIV change protocol that was sanctioned by the Centers for Disease Control and Prevention.
Smith
Bonnie
B
IV Therapy Department of Holmes Regional Medical Center in Melbourne, FL 32901-3278, USA. Bonnie.smith@health-first.org
D000269:Adhesives / Q000592:standards*; D000328:Adult; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000451:nursing; D002408:Catheters, Indwelling / Q000009:adverse effects; D015400:Clinical Nursing Research; D002985:Clinical Protocols / Q000592:standards; D004867:Equipment Design; D004868:Equipment Failure; D006801:Humans; D017053:Infection Control / Q000379:methods / Q000592:standards; D009779:Occlusive Dressings; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D017592:Skin Care / Q000379:methods / Q000451:nursing; D015996:Survival Rate; D013997:Time Factors
D000269:Adhesives