Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]

Article


Webster, J., Osborne, S., Rickard, C. M. and Hall, J.. 2010. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]." Cochrane Database of Systematic Reviews. 2010 (3), pp. 1-41.
Article Title

Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]

ERA Journal ID15305
Article CategoryArticle
AuthorsWebster, J. (Author), Osborne, S. (Author), Rickard, C. M. (Author) and Hall, J. (Author)
Journal TitleCochrane Database of Systematic Reviews
Journal Citation2010 (3), pp. 1-41
Article NumberCD007798
Number of Pages41
Year2010
Place of PublicationUnited Kingdom
ISSN1469-493X
Web Address (URL)http://www.scopus.com/inward/record.url?eid=2-s2.0-77951216664&partnerID=MN8TOARS
Abstract

BACKGROUND: Centers for Disease Control Guidelines recommend replacement of peripheral intravenous (IV) catheters every 72 to 96 hours. Routine replacement is thought to reduce the risk of phlebitis and bacteraemia. Catheter insertion is an unpleasant experience for patients and replacement may be unnecessary if the catheter remains functional and there are no signs of inflammation. Costs associated with routine replacement may be considerable.

OBJECTIVES: To assess the effects of removing peripheral IV catheters when clinically indicated compared with removing and re-siting the catheter routinely.

SEARCH STRATEGY: The Cochrane Peripheral Vascular Diseases Group searched their Specialised Register (last searched October 2009) and the Cochrane Central Register of Controlled Trials (CENTRAL) (last searched Issue Issue 4, 2009). We also searched MEDLINE (last searched October 2009).

SELECTION CRITERIA: Randomised controlled trials that compared routine removal of peripheral IV catheters with removal only when clinically indicated in hospitalised or community dwelling patients receiving continuous or intermittent infusions.

DATA COLLECTION AND ANALYSIS: Three review authors independently assessed trial quality and extracted data.

MAIN RESULTS: In five trials (3408 participants) there was a 44% reduction in suspected catheter-related bacteraemia in the clinically-indicated group (0.2 versus 0.4%) but this was not statistically significant (odds ratio (OR) 0.57; 95% confidence interval (CI) 0.17 to 1.94; P = 0.37). Phlebitis was assessed in six trials (3455 patients); there was a non-significant increase in phlebitis in the clinically-indicated group (9% versus 7.2%); the OR was 1.24 (95% CI 0.97 to 1.60; P = 0.09). We also measured phlebitis per 1000 device days using data from five trials, (8779 device days). No statistical differences in the incidence of phlebitis per 1,000 device days was found (clinically indicated 1.6 cases per 1,000 catheter days versus 1.5 cases per 1,000 catheter days in the routine-replacement group).The combined OR was 1.04 (95% CI 0.81 to 1.32; P = 0.77). Cost was measured in two trials (961 patients). Cannulation costs were significantly reduced in the clinically-indicated group (mean difference (MD) -6.21; 95% CI -9.32 to -3.11; P = < 0.000).

AUTHORS' CONCLUSIONS: The review found no conclusive evidence of benefit in changing catheters every 72 to 96 hours. Consequently, health care organisations may consider changing to a policy whereby catheters are changed only if clinically indicated. This would provide significant cost savings and would also be welcomed by patients, who would be spared the unnecessary pain of routine re-sites in the absence of clinical indications.

Keywordscatheter-related infections; catheterization, peripheral; catheters, indwelling; device removal; guideline adherence; humans; incidence; phlebitis; randomized controlled trials as topic; time factors
ANZSRC Field of Research 2020420501. Acute care
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsDepartment of Health, Queensland
Queensland University of Technology
Griffith University
Institution of OriginUniversity of Southern Queensland
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Prevention of Occlusion of cEnTral lInes for Children with cancer: An implementation study
Ullman, Amanda J., Condon, Paula, Edwards, Rachel, Gibson, Victoria, Takashima, Mari, Schults, Jessica, Dean, Anna, Cattanach, Paula, Nicholls, Wayne, Osborne, Sonya, Rickard, Claire M., Cooke, Marie and Kleidon, Tricia. 2020. "Prevention of Occlusion of cEnTral lInes for Children with cancer: An implementation study." Journal of Paediatrics and Child Health. 56 (12), pp. 1875-1884. https://doi.org/10.1111/jpc.15067
The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis
Carter, Hannah E., Lee, Xing J., Dwyer, Trudy, O'Neill, Barbara, Jeffrey, Dee, Doran, Christopher M., Parkinson, Lynne, Osborne, Sonya R., Reid-Searl, Kerry and Graves, Nicholas. 2020. "The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis." BMC Geriatrics. 20, pp. 1-9. https://doi.org/10.1186/s12877-020-01904-1
Oral nutritional supplements for preventing surgical site infections: protocol for a systematic review and meta-analysis
Ralph, Nicholas, Brown, Lindsay, McKillop, Kristy L., Duff, Jed, Osborne, Sonya, Terry, Victoria R., Edward, Karen-Leigh, King, Rachel and Barui, Edward. 2020. "Oral nutritional supplements for preventing surgical site infections: protocol for a systematic review and meta-analysis." Systematic Reviews. 9, pp. 1-10. https://doi.org/10.1186/s13643-020-01293-x
Office workers' experiences of attempts to reduce sitting-time: an exploratory, mixed-methods uncontrolled intervention pilot study
Dewitt, Stephen, Hall, Jennifer, Smith, Lee, Buckley, John P., Biddle, Stuart J. H., Mansfield, Louise and Gardner, Benjamin. 2019. "Office workers' experiences of attempts to reduce sitting-time: an exploratory, mixed-methods uncontrolled intervention pilot study." BMC Public Health. 19, pp. 1-10. https://doi.org/10.1186/s12889-019-7196-0
The standard you walk past is the standard you accept
Osborne, Sonya, Gore, Amanda, Ireland, Sue, Johnson, Julie, Lavada, Lilliana and Nicholson, Pat. 2015. "The standard you walk past is the standard you accept." ACORN: the journal of perioperative nursing in Australia. 28 (2), pp. 26-27.
Standards are living documents ...
Osborne, Sonya, Levada, Lilliana, Johnson, Julie, Gore, Amanda and Ireland, Sue. 2015. "Standards are living documents ..." ACORN: the journal of perioperative nursing in Australia. 28 (1 - Autumn), pp. 25-27.
Clinically-indicated replacement versus routine replacement of peripheral venous catheters
Webster, Joan, Osborne, Sonya, Rickard, Claire M and Marsh, Nicole. 2019. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters." Cochrane Database of Systematic Reviews. 2019 (1), pp. i-55. https://doi.org/10.1002/14651858.CD007798.pub5
Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: Protocol for a randomised controlled trial
Primiero, Claire Amy, McInerney-Leo, Aideen M., Betz-Stablein, Brigid, Whiteman, David C., Gordon, Louisa, Caffery, Liam, Aitken, Joanne F., Eakin, Elizabeth, Osborne, Sonya, Gray, Len, Smithers, B. Mark, Janda, Monika, Soyer, H. Peter, Finnane, Anna, Primiero C.A., McInerney-Leo A.M., Betz-Stablein B., Whiteman D.C., Gordon L., ..., Finnane A.. 2019. "Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: Protocol for a randomised controlled trial." BMJ Open. 9 (11). https://doi.org/10.1136/bmjopen-2019-032969
Retained Surgical Items: Lessons from Australian Case Law of Items Unintentionally Left Behind in Patients after Surgery
Cockburn, Tina, Davis, Juliet and Osborne, Sonya. 2019. "Retained Surgical Items: Lessons from Australian Case Law of Items Unintentionally Left Behind in Patients after Surgery." Journal of Law and Medicine. 26 (4), pp. 841-848.
Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services
Moretto, Nicole, Comans, Tracy A., Chang, Angela T., O'Leary, Shaun P., Osborne, Sonya, Carter, Hannah E., Smith, David, Cavanagh, Tania, Blond, Dean and Raymer, Maree. 2019. "Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services." Implementation Science. 14 (1), pp. 1-11. https://doi.org/10.1186/s13012-019-0923-1
Reviewing ACORN nursing role ‘anaesthetic nurse'
Ireland, Sue and Osborne, Sonya. 2016. "Reviewing ACORN nursing role ‘anaesthetic nurse'." Journal of Perioperative Nursing. 29 (4), pp. 54-57.
Surgical hand antisepsis, gowning and gloving — not necessarily the way it has always been done
Johnson, Julie and Osborne, Sonya. 2016. "Surgical hand antisepsis, gowning and gloving — not necessarily the way it has always been done." Journal of Perioperative Nursing. 29 (2), pp. 52-54.
Recent updates to our national standards
Osborne, Sonya. 2016. "Recent updates to our national standards." Journal of Perioperative Nursing. 29 (1), pp. 54-55.
Candida albicans colonisation, continence status and incontinence-associated dermatitis in the acute care setting: a pilot study
Campbell, Jill L., Coyer, Fiona M., Mudge, Alison M., Robertson, Ivan M. and Osborne, Sonya R.. 2016. "Candida albicans colonisation, continence status and incontinence-associated dermatitis in the acute care setting: a pilot study." International Wound Journal. 14 (3), pp. 488-495. https://doi.org/10.1111/iwj.12630
Nursing and medical perceptions of a hospital rapid response system new process but same old game?
Douglas, Clint, Osborne, Sonya, Windsor, Carol, Fox, Robyn, Booker, Catriona, Jones, Lee and Gardner, Glenn. 2016. "Nursing and medical perceptions of a hospital rapid response system new process but same old game?" Journal of Nursing Care Quality. 31 (2), pp. E1-E10. https://doi.org/10.1097/NCQ.0000000000000139
A point about sharps safety
Osborne, Sonya. 2014. "A point about sharps safety." ACORN: the journal of perioperative nursing in Australia. 27 (1), pp. 8-9.
Author response: NPO practices and preoperative oral carbohydrate intake
Webster, Joan and Osborne, Sonya Ranee. 2014. "Author response: NPO practices and preoperative oral carbohydrate intake." AORN Journal. 99 (6), p. 673. https://doi.org/10.1016/j.aorn.2014.03.007
Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting
Campbell, Jill L., Coyer, Fiona M. and Osborne, Sonya R.. 2014. "Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting." International Wound Journal. 13 (3), pp. 403-411. https://doi.org/10.1111/iwj.12322
What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale
Douglas, Clint, Osborne, Sonya, Reid, Carol, Batch, Mary, Hollingdrake, Olivia and Gardner, Glenn. 2014. "What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale." Journal of Advanced Nursing. 70 (11), pp. 2683-2694. https://doi.org/10.1111/jan.12408
An integrated educational model for continuing nurse education
Duff, Beverley, Gardner, Glenn and Osborne, Sonya. 2014. "An integrated educational model for continuing nurse education." Nurse Education Today. 34 (1), pp. 104-111. https://doi.org/10.1016/j.nedt.2012.11.022
The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study
Osborne, Sonya, Douglas, Clint, Reid, Carol, Jones, Lee and Gardner, Glenn. 2015. "The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study." International Journal of Nursing Studies. 52 (5), pp. 951-962. https://doi.org/10.1016/j.ijnurstu.2015.01.014
Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)
Webster, Joan and Osborne, Sonya. 2015. "Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004985.pub5
Perioperative nursing
Sutherland-Fraser, Sally, Osborne, Sonya and Bryant, Kim. 2016. "Perioperative nursing." Hamlin, Lois, Davies, Menna, Richardson-Tench, Marilyn and Sutherland-Fraser, Sally (ed.) Perioperative nursing: an introduction. Marrickville, Australia. Elsevier. pp. 1-29
Author response: missed opportunity related to statistical methods
Osborne, Sonya Ranee, Jones, Lee and Webster, Joan. 2014. "Author response: missed opportunity related to statistical methods." AORN Journal. 99 (6), pp. 675-677. https://doi.org/10.1016/j.aorn.2014.04.002
A theoretical framework to support research of health service innovation
Fox, Amanda, Gardner, Glenn and Osborne, Sonya. 2015. "A theoretical framework to support research of health service innovation." Australian Health Review. 39 (1), pp. 70-75. https://doi.org/10.1071/AH14031
Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients
Stankiewicz, Monica, Coyer, Fiona, Webster, Joan and Osborne, Sonya. 2015. "Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients." Dermatologic Surgery. 41 (7), pp. 775-783. https://doi.org/10.1097/DSS.0000000000000391
The skin safety model: reconceptualizing skin vulnerability in older patients
Campbell, Jill L, Coyer, Fiona M. and Osborne, Sonya R.. 2016. "The skin safety model: reconceptualizing skin vulnerability in older patients." Journal of Nursing Scholarship. 48 (1), pp. 14-22. https://doi.org/10.1111/jnu.12176
Skin preparation of the patient – more than skin deep
Levada, Lilliana and Osborne, Sonya. 2017. "Skin preparation of the patient – more than skin deep." Journal of Perioperative Nursing. 30 (2), pp. 57-59.
Making evidence-based perioperative practices stick: an introduction to an implementation science approach
Osborne, Sonya. 2017. "Making evidence-based perioperative practices stick: an introduction to an implementation science approach." Journal of Perioperative Nursing. 30 (4), pp. 53-55.
New ACORN guideline: perioperative nursing management of posthumous organ procurement
Gore, Amanda and Osborne, Sonya. 2017. "New ACORN guideline: perioperative nursing management of posthumous organ procurement." Journal of Perioperative Nursing. 30 (1 - Autumn), pp. 56-59.
Nursing physical assessment for patient safety in general wards: reaching consensus on core skills
Douglas, Clint, Booker, Catriona, Fox, Robyn, Windsor, Carol, Osborne, Sonya and Gardner, Glenn. 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills." Journal of Clinical Nursing. 25 (13-14), pp. 1890-1900. https://doi.org/10.1111/jocn.13201
Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study
Munday, Judy, Osborne, Sonya and Yates, Patsy. 2018. "Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study." Journal of PeriAnesthesia Nursing. 33 (1), pp. 3-12. https://doi.org/10.1016/j.jopan.2016.04.142
Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial
Munday, Judy, Osborne, Sonya, Yates, Patsy, Jones, Lee and Gosden, Edward. 2018. "Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial." Anesthesia and Analgesia. 126 (1), pp. 183-189. https://doi.org/10.1213/ANE.0000000000002026
Nursing service innovation: a case study examining emergency nurse practitioner service sustainability
Fox, Amanda, Gardner, Glenn and Osborne, Sonya. 2018. "Nursing service innovation: a case study examining emergency nurse practitioner service sustainability." Journal of Advanced Nursing. 74 (2), pp. 454-464. https://doi.org/10.1111/jan.13454
Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay
Osborne, Sonya, Harrison, Gai, O'Malia, Angela, Barnett, Adrian Gerard, Carter, Hannah E. and Graves, Nicholas. 2018. "Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay." BMJ Open. 8 (12), pp. 1-6. https://doi.org/10.1136/bmjopen-2018-023127
Does preoperative oral carbohydrate reduce hospital stay? A randomized trial
Webster, Joan, Osborne, Sonya Ranee, Gill, Richard, Chow, Carina Faran Kalan, Wallin, Siobhan, Jones, Lee and Tang, Annie. 2014. "Does preoperative oral carbohydrate reduce hospital stay? A randomized trial." AORN Journal. 99 (2), pp. 233-242. https://doi.org/10.1016/j.aorn.2013.12.003
Quantitative data collection and study validity
Osborne, Sonya and Schneider, Zevia. 2013. "Quantitative data collection and study validity." Schneider, Zevia, Whitehead, Dean, LoBiondo-Wood, Geri and Haber, Judith (ed.) Nursing and midwifery research: methods and appraisal for evidence-based practice. Australia. Elsevier - Mosby. pp. 200-217
Infection control
Osborne, Sonya. 2013. "Infection control." Crisp, Jackie, Potter, Patricia Ann, Taylor, Catherine, Rebeiro, Geraldine and Douglas, Clint (ed.) Potter and Perry's fundamentals of nursing. Chatswood, NSW, Australia. Elsevier - Mosby. pp. 703-752
The ACORN standards - our aide-memoire to professional practice
Osborne, Sonya. 2013. "The ACORN standards - our aide-memoire to professional practice." ACORN: the journal of perioperative nursing in Australia. 26 (4), pp. 14-15.
Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]
Webster, Joan, Osborne, Sonya, Rickard, Clare M. and New, Karen. 2013. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007798.pub3
Nursing management: intraoperative care
Shoup, Anita, Reilly, Maureen, Kless, Jack and Osborne, Sonya. 2012. "Nursing management: intraoperative care." Brown, Diane and Edwards, Helen (ed.) Lewis's medical surgical nursing: assessment and management of clinical problems. Australia. Elsevier. pp. 402-420
Exploring the culture of non-reporting in the perioperative environment
Marshall, J. and Osborne, Sonya. 2007. "Exploring the culture of non-reporting in the perioperative environment." ACORN: the journal of perioperative nursing in Australia. 20 (2), pp. 10-21.
Imperatives and strategies for developing an evidence-based practice in perioperative nursing
Osborne, Sonya and Gardner, Glenn. 2004. "Imperatives and strategies for developing an evidence-based practice in perioperative nursing." ACORN: the journal of perioperative nursing in Australia. 17 (1), pp. 18-24.
Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices
Osborne, Sonya. 2001. "Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices." ACORN: the journal of perioperative nursing in Australia. 14 (2), pp. 16-21.
Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility
Osborne, Sonya R.. 1999. "Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility." ACORN: the journal of perioperative nursing in Australia. 12 (4), pp. 10-13.
Latex allergy: a perioperative environmental hazard
Osborne, Sonya R.. 1998. "Latex allergy: a perioperative environmental hazard." ACORN: the journal of perioperative nursing in Australia. 11 (4), pp. 26-28.