title: Experiences of the first PICC team in the Czech Republic.
abstract: The first specialist nursing team placing peripherally inserted central catheters (PICCs) in the Czech Republic was established in September 2012. During 2013 the team placed 167 PICCs and 162 midline catheters. In another 6 patients the insertion was not successful. PICCs were inserted mainly for oncology patients; while midline catheters were inserted for patients admitted to general wards. Average duration of catheter insertion was 91 days (range 7-285 days) for PICCs and 14 days (range 2-40 days) for midline catheters. During follow up of PICCs, catheter infection rate was 0.3/1000 days, vein thrombosis rate 0.4/1000 days, catheter occlusion 0.4/1000 days, and catheter displacement 0.33/1000 days. For midline catheters infection rate was 1.4/1000 days, vein thrombosis 5.2/1000 days, catheter occlusion 2.6/1000 days, and catheter displacement 2.2/1000 days. The authors hope that these results will motivate other hospitals in the Czech republic to establish PICC teams, as in other European countries.
authors.affiliation: Head Nurse, medical intensive care unit, Faculty Hospital Prague Motol, Prague, Czech Republic.
authors.forename: Katerina
authors.initials: K
authors.lastname: Lisova
authors.forename: Vendula
authors.initials: V
authors.lastname: Paulinova
authors.forename: Katerina
authors.initials: K
authors.lastname: Zemanova
authors.forename: Jaroslava
authors.initials: J
authors.lastname: Hromadkova
mesh_terms: D061807:Catheter Obstruction / Q000706:statistics & numerical data; D055499:Catheter-Related Infections / Q000453:epidemiology; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D002983:Clinical Competence; D018153:Czech Republic; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D016730:Program Development; D062666:Vascular Access Devices; D020246:Venous Thrombosis / Q000453:epidemiology
keywords: Midline catheter; PICC team; Peripherally inserted central catheter; Specialist nursing teams; Venous access complications