Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/2574
Title: How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey.
Author: Anstey, A.
Maxwell, N.
Rickard, C.
Hammond, N.
Knowles, S.
McGain, F.
Institutional Author: The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members, Coordinating centre List of investigators, Site List of investigators
Issue Date: 2024
Publication Title: Australian Critical Care
Volume: 37
Issue: 3
Start Page: 495
End Page: 498
Abstract: Background Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks. Objectives The objective of this study was to describe the current unit guidelines in Australian and New Zealand intensive care units (ICUs) for changing infusion sets for CVCs. Methods prospective cross-sectional point prevalence study, as a part of the 2021 Australian and New Zealand Intensive Care Society Point Prevalence Program. Participants Australia and New Zealand (ANZ) adult ICUs and their patients on the day of the study. Results Data were collected from 51 ICUs across ANZ. One-third of these (16/49) ICUs had a guideline that specified a 7-day replacement period, with the rest having a more frequent replacement period. Conclusion Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3–4 days, and recent high-level evidence supports an update to extend this to 7 days. There remains work to be done to spread this evidence to ANZ ICUs and improve environmental sustainability initiatives.
Description: Includes data from Ballarat Health Services
URI: http://hdl.handle.net/11054/2574
DOI: https://doi.org/10.1016/j.aucc.2023.05.004
Internal ID Number: 02525
Health Subject: INTENSIVE CARE
INFUSION SETS
CENTRAL VENOUS CATHETERS
SUSTAINABILITY
Type: Journal Article
Article
Appears in Collections:Research Output

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