Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study

Pedro Parreira, Beatriz Serambeque, Paulo S. Costa, Lisete S. Mónico, Vânia Oliveira, Liliana B. Sousa, Fernando Gama, Rafael A. Bernardes, David Adriano, Inês A. Marques, Luciene M. Braga, João Graveto, Nádia Osório and Anabela Salgueiro-Oliveira
Additional contact information
Pedro Parreira: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
Beatriz Serambeque: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
Paulo S. Costa: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
Lisete S. Mónico: IPCDVS, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal
Vânia Oliveira: Institute for Biomedicine-iBiMED, University of Aveiro, 3810-193 Aveiro, Portugal
Liliana B. Sousa: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
Fernando Gama: Coimbra Hospital and Universitary Centre (CHUC), 3004-561 Coimbra, Portugal
Rafael A. Bernardes: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
David Adriano: Coimbra Hospital and Universitary Centre (CHUC), 3004-561 Coimbra, Portugal
Inês A. Marques: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
Luciene M. Braga: Nursing Department, Federal University of Viçosa, Viçosa 36570-900, Brazil
João Graveto: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
Nádia Osório: Department of Biomedical Laboratory Sciences, Coimbra Health School (ESTeSC), Polytechnic Institute of Coimbra, 3046-854 Coimbra, Portugal
Anabela Salgueiro-Oliveira: Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal

IJERPH, 2019, vol. 16, issue 18, 1-12

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.

Keywords: catheter-related bloodstream infections; complications; contamination; infection prevention; nursing; occlusive dressings; peripheral intravenous catheter; tourniquets (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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