Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.

Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.

ABSTRACT AIMS AND OBJECTIVES: This article presents a systematic review of the evidence for the optimal interval for replacement of administration sets for peripheral arterial catheters. BACKGROUND: Peripheral arterial catheters are attached to administration sets, including transducers, which are c...

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Main Authors: Daud, Azlina, Rickard, Claire, Cooke, Marie, Reynolds, Heather
Format: Article
Language:English
Published: Blackwell Publishing Ltd 2013
Subjects:
RT Nursing
Online Access:http://irep.iium.edu.my/39496/
http://irep.iium.edu.my/39496/
http://irep.iium.edu.my/39496/
http://irep.iium.edu.my/39496/1/Daud_et_al_2013.PDF
id iium-39496
recordtype eprints
spelling iium-394962014-12-08T08:42:29Z http://irep.iium.edu.my/39496/ Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review. Daud, Azlina Rickard, Claire Cooke, Marie Reynolds, Heather RT Nursing ABSTRACT AIMS AND OBJECTIVES: This article presents a systematic review of the evidence for the optimal interval for replacement of administration sets for peripheral arterial catheters. BACKGROUND: Peripheral arterial catheters are attached to administration sets, including transducers, which are changed routinely in some hospitals on the understanding that prolonged duration of administration sets use may cause a higher incidence of infection. DESIGN: Systematic review. METHODS: Medline, CINAHL, Scopus and the Cochrane Library were searched to access relevant studies published between 1966 and 2011. Inclusion criteria were quantitative studies of critically ill patients with peripheral arterial catheters that required administration sets for intra-arterial pressure monitoring and had a focus on administration sets duration of use. Studies were assessed for quality using either methodological quality assessments from Cochrane guidelines for systematic reviews for randomised controlled trials or with the Newcastle-Ottawa quality assessment scale for cohort studies. RESULTS: Six studies were selected for review. These included three randomised controlled trials (226 patients) and three cohort studies (219 patients). Cohort studies reported 1-4% catheter-related bloodstream infection and 0-8% infusate-related bloodstream infection when administration sets were changed every 48 hours. Two randomised controlled trials found no difference in infusate-related bloodstream infection (two days: 0%; four to eight days: 1·7%) and found no cases of catheter-related bloodstream infection in any group when administration sets were replaced every 24 or 48 hours. CONCLUSION: There is limited evidence on the optimum duration of administration sets used for peripheral arterial catheters. Large randomised trials of high quality are needed. RELEVANCE TO CLINICAL PRACTICE: This review provides clinicians with comprehensive information about the state of the evidence in relation to the duration of administration sets for peripheral arterial catheters to inform decision-making and further research. Blackwell Publishing Ltd 2013 Article PeerReviewed application/pdf en http://irep.iium.edu.my/39496/1/Daud_et_al_2013.PDF Daud, Azlina and Rickard, Claire and Cooke, Marie and Reynolds, Heather (2013) Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review. Journal of Clinical Nursing, 22 (3-4). pp. 303-317. ISSN 1365-2702 http://www.ncbi.nlm.nih.gov/pubmed/23231587 DOI: 10.1111/j.1365-2702.2012.04346.x
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RT Nursing
spellingShingle RT Nursing
Daud, Azlina
Rickard, Claire
Cooke, Marie
Reynolds, Heather
Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
description ABSTRACT AIMS AND OBJECTIVES: This article presents a systematic review of the evidence for the optimal interval for replacement of administration sets for peripheral arterial catheters. BACKGROUND: Peripheral arterial catheters are attached to administration sets, including transducers, which are changed routinely in some hospitals on the understanding that prolonged duration of administration sets use may cause a higher incidence of infection. DESIGN: Systematic review. METHODS: Medline, CINAHL, Scopus and the Cochrane Library were searched to access relevant studies published between 1966 and 2011. Inclusion criteria were quantitative studies of critically ill patients with peripheral arterial catheters that required administration sets for intra-arterial pressure monitoring and had a focus on administration sets duration of use. Studies were assessed for quality using either methodological quality assessments from Cochrane guidelines for systematic reviews for randomised controlled trials or with the Newcastle-Ottawa quality assessment scale for cohort studies. RESULTS: Six studies were selected for review. These included three randomised controlled trials (226 patients) and three cohort studies (219 patients). Cohort studies reported 1-4% catheter-related bloodstream infection and 0-8% infusate-related bloodstream infection when administration sets were changed every 48 hours. Two randomised controlled trials found no difference in infusate-related bloodstream infection (two days: 0%; four to eight days: 1·7%) and found no cases of catheter-related bloodstream infection in any group when administration sets were replaced every 24 or 48 hours. CONCLUSION: There is limited evidence on the optimum duration of administration sets used for peripheral arterial catheters. Large randomised trials of high quality are needed. RELEVANCE TO CLINICAL PRACTICE: This review provides clinicians with comprehensive information about the state of the evidence in relation to the duration of administration sets for peripheral arterial catheters to inform decision-making and further research.
format Article
author Daud, Azlina
Rickard, Claire
Cooke, Marie
Reynolds, Heather
author_facet Daud, Azlina
Rickard, Claire
Cooke, Marie
Reynolds, Heather
author_sort Daud, Azlina
title Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
title_short Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
title_full Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
title_fullStr Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
title_full_unstemmed Replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
title_sort replacement of administration sets (including transducers) for peripheral arterial catheters 4 days versus 7 days: a systematic review.
publisher Blackwell Publishing Ltd
publishDate 2013
url http://irep.iium.edu.my/39496/
http://irep.iium.edu.my/39496/
http://irep.iium.edu.my/39496/
http://irep.iium.edu.my/39496/1/Daud_et_al_2013.PDF
first_indexed 2023-09-18T20:56:45Z
last_indexed 2023-09-18T20:56:45Z
_version_ 1777410355040878592

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