Κατεύθυνση Πρόληψη και έλεγχος Λοιμώξεων
Library of the School of Health Sciences

2024-07-22

2024

Mpakatselou Ioanna

Λεμονίδου Χρυσούλα, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Τσερώνη Μαριγώ, Επικ. Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Κατσούλας Θεόδωρος, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ

Η συχνότητα εμφάνισης λοιμώξεων από ενδοαγγειακούς περιφερικούς καθετήρες, η πρόληψη και η αντιμετώπισή τους

Greek

The incidence of peripheral endovascular catheter infections, prevention and management

Introduction - Background: Peripheral intravascular catheters are commonly used medical devices for delivering fluids, medications, and blood products in clinical settings. Despite their utility, peripheral intravascular catheters pose a significant risk of infections.
Aim: To investigate the frequency of peripheral intravascular catheter-associated infections and the practices applied during their insertion and maintenance. Methodology: Research articles published between the last decade, 2014-2024, were searched using the online databases PubMed, Embase and Medline. The inclusion criteria were their publication in Greek and English and the sample being adults and children who required insertion, maintenance or removal of peripheral endovascular catheters in any acute or community health care setting. Exclusion criteria were systematic and literature reviews, meta-analyses, and studies with a sample of studies that required insertion, maintenance or removal of other than intravascular peripheral catheters (such as central venous catheters, etc.).
Results: The majority of patients who have endovascular peripheral catheters placed develop a catheter-related complication. . The most frequent complication of peripheral endovascular catheters found in the scientific literature is phlebitis. In addition, peripheral endovascular catheters are also one of the most common sources of hospital-acquired Staphylococcus aureus, even leading to mortality. A number of opportunities are identified to address and prevent infections from peripheral endovascular catheters: 1) educational strategies aimed at reducing inconsistency in insertion and retention practices of peripheral endovascular catheters and 2) practices and measures including chlorhexidine-containing skin decontamination; the use of gloves, hand hygiene and the use of innovative devices.
Conclusions: As healthcare continues to evolve, understanding the frequency, optimal management, and effective prevention of peripheral intravascular catheter-associated infections is crucial for improving patient outcomes and reducing healthcare-associated infections.

Health Sciences

Peripheral intravascular catheters, Infection, Frequency, Management, Prevention

No

0

Yes

40

61

File access is restricted only to the intranet of UoA.

https://pergamos.lib.uoa.gr/uoa/dl/object/3410998