Does a Dedicated Lumen for Parenteral Nutrition Administration Reduce the Risk of Catheter-Related Bloodstream Infections? A Systematic Literature Review.
作者信息
Gavin Nicole Clare, Button Elise, Castillo Maria Isabel, Ray-Barruel Gillian, Keogh Samantha, McMillan David J, Rickard Claire M
机构信息
Royal Brisbane and Women's Hospital, Queensland, Brisbane, Australia (RBWH) (Mss Gavin and Button); Alliance for Vascular Access Teaching and Research Group (AVATAR), Menzies Health Institute Queensland (MHIQ), Griffith University (GU), Queensland, Brisbane, Australia (Ms Castillo and Drs Ray-Barruel, Keogh, and Rickard); and University of the Sunshine Coast, Queensland, Sippy Downs, Australia (Dr McMillan). Nicole Clare Gavin, MAP, BSc (Hons), RN, is an acting nurse researcher at the RBWH, Queensland, Australia, and a doctoral candidate at MHIQ, GU, Queensland, Australia. Elise Button, MAP (Hons), BN, RN, is an acting nurse researcher at the RBWH, Queensland, Australia, and doctoral candidate in the School of Nursing at Queensland University of Technology, Queensland, Australia. Maria Isabel Castillo, PhD, RN, is a research fellow with the AVATAR at MHIQ, GU in Australia. Her research interests and publications are currently focused on care and management of vascular access devices and recovery after critical illness. Gillian Ray-Barruel, PhD, RN, coordinated the One Million Global (OMG) study, which recruited more than 40 000 patients with peripheral inserted venous catheters (PIVCs) globally. Her postdoctoral fellowship aims to improve assessment and action by bedside clinicians regarding the prevention of PIVC complications. Samantha Keogh, PhD, RN, has a clinical background in adult and pediatric critical care. Her research focuses on the management of vascular access devices. She is the current principal director at AVATAR and serves as the lead of the flushing and blood sampling platform. David J. McMillan, PhD, BSc, is a senior research fellow at the University of the Sunshine Coast, Queensland, Australia. He is a molecular microbiologist with a research interest in assessment and prevention of bacterial colonization of medical devices. Claire M. Rickard, PhD, RN, is professor of nursing with GU and director at AVATAR, MHIQ. She is an inducted member of the Sigma Theta Tau International (STTI) Nurse Researcher Hall of Fame and an elected Fellow of the Australian Academy of Health and Medical Sciences and Australian College of Nursing.
出版信息
J Infus Nurs. 2018 Mar/Apr;41(2):122-130. doi: 10.1097/NAN.0000000000000270.
Guidelines recommend using single-lumen central vascular access devices (CVADs) for the administration of parenteral nutrition (PN) or lipid-based solutions, or a dedicated lumen on a multilumen CVAD. Publications reviewed by the authors reported comparative rates of catheter-related bloodstream infection (CR-BSI) in patients with CVADs who received PN through a dedicated lumen compared with those who had PN administered through multilumen CVADs. Two studies included 650 patients with 1349 CVADs. CR-BSIs were equally distributed between the 2 groups. Both studies were poorly reported and had significant risk of bias. These results should be interpreted with caution.
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