How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey.

Anstey, MH; Maxwell, N; Rickard, CM; Hammond, NE; Knowles, S; McGain, F; 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,

How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey.

Anstey, MH Maxwell, N Rickard, CM Hammond, NE Knowles, S McGain, F 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,

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Aust Crit Care, 2023, pp. S1036-7314(23)00068-1
Issue Date:: 2023-06-27

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Field	Value	Language
dc.contributor.author	Anstey, MH
dc.contributor.author	Maxwell, N
dc.contributor.author	Rickard, CM
dc.contributor.author	Hammond, NE
dc.contributor.author	Knowles, S
dc.contributor.author	McGain, F
dc.contributor.author	George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members,
dc.contributor.author	Coordinating centre List of investigators,
dc.contributor.author	Site List of investigators,
dc.date.accessioned	2024-03-13T01:38:15Z
dc.date.available	2023-05-25
dc.date.available	2024-03-13T01:38:15Z
dc.date.issued	2023-06-27
dc.identifier.citation	Aust Crit Care, 2023, pp. S1036-7314(23)00068-1
dc.identifier.issn	1036-7314
dc.identifier.uri	http://hdl.handle.net/10453/176613
dc.description.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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Aust Crit Care
dc.relation.isbasedon	10.1016/j.aucc.2023.05.004
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1110 Nursing
dc.subject.classification	Nursing
dc.subject.classification	4205 Nursing
dc.title	How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey.
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1110 Nursing
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2024-03-13T01:38:14Z
pubs.publication-status	Published online

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.

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http://hdl.handle.net/10453/176613