Catheter-related bloodstream infection is the most prevalent and severe complication for patients who receive parenteral nutrition therapy at home. A new study by researchers at Aalborg University in Denmark examined whether environmental factors have any influence on the amount of time before a first infection.
The study published today in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition (JPEN), the research journal of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), focused on tunneled vascular access devices and peripherally inserted central venous catheters (PICCs), the two most commonly used catheters. Factors such as smoking, catheter management by a home care nurse, colectomy with stoma, number of infusion days per week, and C-reactive protein values at catheter insertion day were investigated.
Adult patients suffering from intestinal failure and receiving home parenteral nutrition were included. A total of 295 catheters, including 169 tunneled vascular access devices and 126 PICCs, were used in 136 patients.
The study found that using a PICC for one additional infusion day per week significantly reduced the amount of time before a first bloodstream infection. It also found that using a tunneled vascular access device managed by a home care nurse increased the mean incidence of such infections. No other factors had any significant impact.
Based on these results, the study authors recommend revisions to current home care guidelines, including using PICCs only for short-term home therapy and when few infusion days per week are needed, and that management of tunneled vascular access devices by home care nurses should be further specialized.
Explore further: Revisions needed for current IV feeding safeguards against bloodstream infections
Provided by American Society for Parenteral and Enteral Nutrition
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Catheter-related bloodstream infection is the most prevalent and severe complication for patients who receive parenteral nutrition therapy at home. A new study by researchers at Aalborg University in Denmark examined whether environmental factors have any influence on the amount of time before a first infection.
The study published today in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition (JPEN), the research journal of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), focused on tunneled vascular access devices and peripherally inserted central venous catheters (PICCs), the two most commonly used catheters. Factors such as smoking, catheter management by a home care nurse, colectomy with stoma, number of infusion days per week, and C-reactive protein values at catheter insertion day were investigated.
Adult patients suffering from intestinal failure and receiving home parenteral nutrition were included. A total of 295 catheters, including 169 tunneled vascular access devices and 126 PICCs, were used in 136 patients.
The study found that using a PICC for one additional infusion day per week significantly reduced the amount of time before a first bloodstream infection. It also found that using a tunneled vascular access device managed by a home care nurse increased the mean incidence of such infections. No other factors had any significant impact.
Based on these results, the study authors recommend revisions to current home care guidelines, including using PICCs only for short-term home therapy and when few infusion days per week are needed, and that management of tunneled vascular access devices by home care nurses should be further specialized.
Explore further: Revisions needed for current IV feeding safeguards against bloodstream infections
Provided by American Society for Parenteral and Enteral Nutrition
Medical Xpress on facebook
Related Stories
Commonly used catheter's safety tied to patient population
A new study reports that peripherally inserted central catheters (PICCs) do not reduce the risk of central line associated bloodstream infections (CLABSIs) in hospitalized patients. PICCs have become one of the most commonly ...
Revisions needed for current IV feeding safeguards against bloodstream infections
Current guidelines to help prevent bloodstream infections during intravenous feeding may need revisions to strengthen protections for patients, a new study finds.
Serious risks from common IV devices mean doctors should choose carefully, experts say
Every day, patients around the country get IV devices placed in their arms, to make it easier to receive medicines or have blood drawn over the course of days or weeks. But these PICC lines, as they're called, ...
One in five physicians unaware their patients have central venous catheters
One in five physicians was unaware a hospitalized patient had a central venous catheter, which is commonly used for laboratory monitoring or to administer life-saving treatments such as IV delivery of antibiotics, nutrition, ...
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Pediatric patients with intestinal failure often need gastrostomy tubes, or feeding tubes inserted into an opening created in the stomach, for long-term nutrition. The use of such tubes can lead to persistent gastrocutaneous ...
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(HealthDay)—A new breath test has been approved by the U.S. Food and Drug Administration to help doctors diagnose a condition called gastroparesis, a delay in emptying of stomach contents to the small intestine.
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