Optimal timing for intravenous administration set replacement

Gillies, D; O'riordan, L; Wallen, M; Morrison, A; Rankin, K; Nagy, SA

Optimal timing for intravenous administration set replacement

Gillies, D O'riordan, L Wallen, M Morrison, A Rankin, K Nagy, SA

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Publisher:: John Wiley & Sons Ltd
Publication Type:: Journal Article
Citation:: The Cochrane Database of Systematic Reviews, 2005, - (4), pp. 1 - 42
Issue Date:: 2005-01

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Field	Value	Language
dc.contributor.author	Gillies, D	en_US
dc.contributor.author	O'riordan, L	en_US
dc.contributor.author	Wallen, M	en_US
dc.contributor.author	Morrison, A	en_US
dc.contributor.author	Rankin, K	en_US
dc.contributor.author	Nagy, SA	en_US
dc.date.issued	2005-01	en_US
dc.identifier.citation	The Cochrane Database of Systematic Reviews, 2005, - (4), pp. 1 - 42	en_US
dc.identifier.issn	1469-493X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/4052
dc.description.abstract	Background Administration of intravenous therapy is a common occurrence within the hospital setting. Routine replacement of administration sets has been advocated to reduce intravenous infusion contamination. If decreasing the frequency of changing intravenous administration sets does not increase infection rates, a change in practice could result in considerable cost savings. Objectives The objective of this review was to identify the optimal interval for the routine replacement of intravenous administration sets when infusate or parenteral nutrition (lipid and non-lipid) solutions are administered to people in hospital via central or peripheral venous catheters. Search strategy We searched The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, CINAHL, EMBASE: all from inception to February 2004; reference lists of identified trials, and bibliographies of published reviews. We also contacted researchers in the field. We did not have a language restriction. Selection criteria We included all randomized or quasi-randomized controlled trials addressing the frequency of replacing intravenous administration sets when parenteral nutrition (lipid and non-lipid containing solutions) or infusions (excluding blood) were administered to people in hospital via a central or peripheral catheter. Data collection and analysis Two authors assessed all potentially relevant studies. We resolved disagreements between the two authors by discussion with a third author. We collected data for the outcomes; infusate contamination; infusate-related bloodstream infection; catheter contamination; catheter-related bloodstream infection; all-cause bloodstream infection and all-cause mortality.	en_US
dc.publisher	John Wiley & Sons Ltd	en_US
dc.relation.ispartof	The Cochrane Database of Systematic Reviews	en_US
dc.subject.classification	General & Internal Medicine	en_US
dc.title	Optimal timing for intravenous administration set replacement	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	-	en_US
utslib.for	111002 Clinical Nursing: Primary (Preventative)	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.consider-herdc	true	en_US
pubs.issue	4	en_US
pubs.volume	-	en_US

Abstract:

Background Administration of intravenous therapy is a common occurrence within the hospital setting. Routine replacement of administration sets has been advocated to reduce intravenous infusion contamination. If decreasing the frequency of changing intravenous administration sets does not increase infection rates, a change in practice could result in considerable cost savings. Objectives The objective of this review was to identify the optimal interval for the routine replacement of intravenous administration sets when infusate or parenteral nutrition (lipid and non-lipid) solutions are administered to people in hospital via central or peripheral venous catheters. Search strategy We searched The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, CINAHL, EMBASE: all from inception to February 2004; reference lists of identified trials, and bibliographies of published reviews. We also contacted researchers in the field. We did not have a language restriction. Selection criteria We included all randomized or quasi-randomized controlled trials addressing the frequency of replacing intravenous administration sets when parenteral nutrition (lipid and non-lipid containing solutions) or infusions (excluding blood) were administered to people in hospital via a central or peripheral catheter. Data collection and analysis Two authors assessed all potentially relevant studies. We resolved disagreements between the two authors by discussion with a third author. We collected data for the outcomes; infusate contamination; infusate-related bloodstream infection; catheter contamination; catheter-related bloodstream infection; all-cause bloodstream infection and all-cause mortality.

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http://hdl.handle.net/10453/4052