title: A prospective randomized trial of two safety peripheral intravenous catheters.
abstract: BACKGROUND
  To reduce the risk of accidental needlestick injuries, first active then passive safety devices were developed on IV catheters. However, whether these catheters are easy to implement and really protect personnel from accidental needlestick is untested.
  
  
  METHODS
  In this prospective randomized survey, we compared a passive safety catheter with an active safety catheter and a nonsafety classic catheter. The main objective was to evaluate the difficulty of inserting the catheters in terms of the number of insertion failures, difficulties introducing the catheter and withdrawing the needle, and the normality of the blood reflux in the delivery system. The second objective was to determine the degree of exposure to patients' blood evaluated as the number of exposures of the staff and blood splashes of the environment, and the staff's sense of protection.
  
  
  RESULTS
  Seven hundred fifty-nine assessment cards were collected. The number of failures for the three catheter groups was similar and not statistically different. Introduction of the catheter was more difficult with the active safety catheter. Needle withdrawal was more difficult with the passive safety catheter. The blood reflux was abnormal more often with the safety catheters. The staff's exposure was more frequent with the active safety catheter. The number of blood splashes was more common with the safety catheters.
  
  
  CONCLUSIONS
  Safety catheters are not superior with regard to failure rate in the catheter's placement. Users feel better protected, but find the use of safety catheters more difficult, and their handling generates more splashing of blood into the environment. The passive safety catheter is more efficient than the active safety catheter with regard to ease of introduction of the catheter into the vein and the staff's exposure to the patient's blood.
authors.affiliation: Department of Anesthesiology, Military Teaching Hospital Sainte Anne, 83800 Toulon Armées, France. prunet.bertrand@orange.fr
authors.forename: Bertrand
authors.initials: B
authors.lastname: Prunet
authors.forename: Eric
authors.initials: E
authors.lastname: Meaudre
authors.forename: Ambroise
authors.initials: A
authors.lastname: Montcriol
authors.forename: Yves
authors.initials: Y
authors.lastname: Asencio
authors.forename: Julien
authors.initials: J
authors.lastname: Bordes
authors.forename: Guillaume
authors.initials: G
authors.lastname: Lacroix
authors.forename: Eric
authors.initials: E
authors.lastname: Kaiser
mesh_terms: D000328:Adult; D000368:Aged; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000517:prevention & control; D011446:Prospective Studies; D012449:Safety