Peripheral intravenous catheters (PIVCs) are typically provided to hospitalized patients upon admission in order to provide prescribed IV fluids and drugs. Patients who have a peripheral intravenous catheter (PIVC) inserted run the risk of developing phlebitis and bloodstream infections. Yasuda et al. (2021) report that phlebitis is the most frequent and significant PIVC-related complication, occurring in 7–44% of catheters. Other complications associated with PIVC include catheter-related blood stream infections (CRBSI), accidental removal, occlusion, thrombosis, and phlebitis collectively occurring in 20–50% of cases (Yasuda et al., 2021).
PICO(T) Question: Use the PICOT question developed in Topic 1 Discussion Question (DQ) 2 and refine it as needed.
| PICO(T) Question Template | ||
| P | Population | Hospitalized patients |
| I | Intervention | Routine (every 72 hours) replacement of peripheral intravenous catheter |
| C | Comparison | Replacement of peripheral intravenous catheter when it is clinically indicated |
| O | Outcome | The incidence of phlebitis and blood stream infection |
| T | Timeline
(optional) |
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| Intervention | ||
| In hospitalized patients (P), how does routine (every 72 hours) replacement of peripheral intravenous catheter (I) compared to replacement of peripheral intravenous catheter when it is clinically indicated (C) affect the incidence of phlebitis and blood stream infection (O)? | ||
| Problem Statement | ||
| It is not known if the implementation of routine (every 72 hours) replacement of peripheral intravenous catheter would impact the incidence of phlebitis and blood stream infection (O) among hospitalized patients (P). | ||
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
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| APA Reference
Include the GCU permalink or working link used to access the article |
Vendramim, P., Avelar, A. F. M., Rickard, C. M., & Pedreira, M. D. L. G. (2020). The RESPECT trial–Replacement of peripheral intravenous catheters according to clinical reasons or every 96 hours: A randomized, controlled, non-inferiority trial. International Journal Of Nursing Studies, 107, 103504.
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Li, J., Ding, Y., Lu, Q., Jin, S., Zhang, P., Jiang, Z., & Lin, F. (2022). Routine replacement versus replacement as clinical indicated of peripheral intravenous catheters: A multisite randomised controlled trial. Journal of Clinical Nursing, 31(19-20), 2959-2970.
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Blanco-Mavillard, I., Castro-Sánchez, E., Parra-García, G., Rodríguez-Calero, M. Á., Bennasar-Veny, M., Fernández-Fernández, I., & de Pedro-Gómez, J. (2022). What fuels suboptimal care of peripheral intravenous catheter-related infections in hospitals? A qualitative study of decision-making among Spanish nurses. Antimicrobial Resistance & Infection Control, 11(1), 1-9.
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Xu, H. G., Ullman, A. J., Rickard, C. M., & Johnston, A. (2023). Factors impacting emergency department clinicians’ peripheral…. |
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