| Efficacy of multifaceted interventions in reducing complications of peripherally inserted central catheter in adult oncology patients. | |
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MedLine Citation:
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PMID: 19787379 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the efficacy of multifaceted interventions in reducing complications of peripherally inserted central venous catheter (PICC) in adult oncology patients. METHODS: Multifaceted interventions were implemented in our department in December 2006. These interventions include: (1) A mandatory nurse reeducation was developed by a multidisciplinary task force; (2) Modification of peripherally inserted central catheter insertion: take a chest X-ray before removal of the guidewire and cutting of the catheter. The guidewire in the catheter facilitates the accurate location of the tip of PICC on chest X-ray and make the malposition correction (withdrawing, reinsertion, even reinsertion following withdrawal) easily; (3) Using a 2% chlorhexidine preparation, replace 10% povidone iodine for skin antisepsis; (4) Maintenance of maximum sterile barrier precautions during PICC insertion and aftercare; (5) Designing of a PICC archive form and establishing a PICC archive for each patient. The PICC complication rates of groups before and after interventions were evaluated and compared. RESULTS: Sixty-nine PICC lines were inserted before these interventions, and 165 were inserted after implementation of these interventions. Compared with preintervention group, the postintervention group was associated with a 62.14% decrease in the overall complication rate (11.52% vs 30.43% [P = 0.0004]; incidence density, 1.82 vs 4.62 per 1,000 PICC days) with a 67.48% decrease in the infective complications rate (4.24% vs 13.04% [P = 0.015]) with a 58.19% decrease in the noninfective complications rate (7.27% vs 17.39% [P = 0.0199]). CONCLUSIONS: The results suggest that these interventions implemented in this study may be help in reducing complications of PICC in adult oncology patients. |
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Authors:
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Geng Tian; Yan Zhu; Li Qi; Fengqin Guo; Haidan Xu |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-09-29 |
Journal Detail:
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Title: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer Volume: 18 ISSN: 1433-7339 ISO Abbreviation: Support Care Cancer Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-08-18 Completed Date: 2010-12-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9302957 Medline TA: Support Care Cancer Country: Germany |
Other Details:
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Languages: eng Pagination: 1293-8 Citation Subset: IM |
Affiliation:
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Department of Tumor, The First Affiliated Hospital of Shenzhen University, Shenzhen, People's Republic of China. gengtian71@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anti-Infective Agents, Local / administration & dosage Catheter-Related Infections / prevention & control* Catheterization, Central Venous / adverse effects, instrumentation, methods* Catheterization, Peripheral / adverse effects, instrumentation, methods* Chlorhexidine / administration & dosage Education, Nursing, Continuing / methods Female Humans Middle Aged Neoplasms / drug therapy Povidone-Iodine / administration & dosage Radiography, Thoracic / methods Skin / microbiology Skin Diseases, Infectious / etiology, prevention & control* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Infective Agents, Local; 25655-41-8/Povidone-Iodine; 55-56-1/Chlorhexidine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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