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Title: Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study
Authors: Parreira, Pedro 
Serambeque, Beatriz 
Costa, Paulo S.
Mónico, Lisete 
Oliveira, Vânia
Sousa, Liliana B. 
Gama, Fernando
Bernardes, Rafael A.
Adriano, David
Marques, Inês A. 
Braga, Luciene M.
Graveto, João
Osório, Nádia Isabel Almeida 
Salgueiro-Oliveira, Anabela
Keywords: catheter-related bloodstream infections; complications; contamination; infection prevention; nursing; occlusive dressings
Issue Date: 8-Sep-2019
Publisher: MDPI
Project: “Transfer of technological innovations to nursing practice: a contribution to the prevention of infections” project (CENTRO-01-0145-FEDER-024371), funded by the European Regional Development Fund—FEDER—through the Competitiveness and Internationalization Operational Program of PORTUGAL 2020 
Serial title, monograph or event: International Journal of Environmental Research and Public Health
Volume: 16
Issue: 18
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.
ISSN: 1660-4601
DOI: 10.3390/ijerph16183301
Rights: openAccess
Appears in Collections:FPCEUC - Artigos em Revistas Internacionais

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