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Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study

Author

Listed:
  • Pedro Parreira

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Beatriz Serambeque

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Paulo S. Costa

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Lisete S. Mónico

    (IPCDVS, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal)

  • Vânia Oliveira

    (Institute for Biomedicine-iBiMED, University of Aveiro, 3810-193 Aveiro, Portugal)

  • Liliana B. Sousa

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Fernando Gama

    (Coimbra Hospital and Universitary Centre (CHUC), 3004-561 Coimbra, Portugal)

  • Rafael A. Bernardes

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • David Adriano

    (Coimbra Hospital and Universitary Centre (CHUC), 3004-561 Coimbra, Portugal)

  • Inês A. Marques

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Luciene M. Braga

    (Nursing Department, Federal University of Viçosa, Viçosa 36570-900, Brazil)

  • João Graveto

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Nádia Osório

    (Department of Biomedical Laboratory Sciences, Coimbra Health School (ESTeSC), Polytechnic Institute of Coimbra, 3046-854 Coimbra, Portugal)

  • Anabela Salgueiro-Oliveira

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

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.

Suggested Citation

  • Pedro Parreira & Beatriz Serambeque & Paulo S. Costa & Lisete S. Mónico & Vânia Oliveira & Liliana B. Sousa & Fernando Gama & Rafael A. Bernardes & David Adriano & Inês A. Marques & Luciene M. Braga &, 2019. "Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3301-:d:265355
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    References listed on IDEAS

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    1. Dragana Simin & Dragana Milutinović & Vesna Turkulov & Snežana Brkić, 2019. "Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1585-1599, May.
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    Cited by:

    1. Paulo Santos-Costa & Liliana B. Sousa & Fredericus H.J. van Loon & Anabela Salgueiro-Oliveira & Pedro Parreira & Margarida Vieira & João Graveto, 2020. "Translation and Validation of the Modified A-DIVA Scale to European Portuguese: Difficult Intravenous Access Scale for Adult Patients," IJERPH, MDPI, vol. 17(20), pages 1-11, October.
    2. Paulo Santos-Costa & Mariana Alves & Carolina Sousa & Liliana B. Sousa & Filipe Paiva-Santos & Rafael A. Bernardes & Filipa Ventura & Anabela Salgueiro-Oliveira & Pedro Parreira & Margarida Vieira & J, 2022. "Nurses’ Involvement in the Development and Usability Assessment of an Innovative Peripheral Intravenous Catheterisation Pack: A Mix-Method Study," IJERPH, MDPI, vol. 19(17), pages 1-14, September.
    3. Liliana B. Sousa & Paulo Santos-Costa & Inês A. Marques & Arménio Cruz & Anabela Salgueiro-Oliveira & Pedro Parreira, 2020. "Brief Report on Double-Chamber Syringes Patents and Implications for Infusion Therapy Safety and Efficiency," IJERPH, MDPI, vol. 17(21), pages 1-8, November.

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