Clinical Researches
Summary of the best evidence for prevention of bloodstream infections associated with peripherally inserted central catheters
Wang Chunli, Wu Siting, Wu Xinyi, Wu Ying, Ding Yaguang
Published 2022-11-06
Cite as Chin J Mod Nurs, 2022, 28(31): 4324-4330. DOI: 10.3760/cma.j.cn115682-20220115-00247
Abstract
ObjectiveTo retrieve and summarize the best evidence of peripherally inserted central catheters (PICC) related bloodstream infection prevention and to evaluate the evidence, so as to provide reference for clinical implementation of preventive measures for catheter-related bloodstream infection.
MethodsNational Institute for Health and Care Excellence (NICE) , National Guideline Clearinghouse (NGC) , Guidelines International Network (GIN) , Scottish Intercollegiate Guidelines Network (SIGN) , Australian Joanna Briggs Institute (JBI) Evidence-based Health Centre Database, UpToDate, BMJ Best Practice, Cochrane Library, China National Knowledge Infrastructure (CNKI) , Wanfang and related professional websites such as Infusion Nursing Society (INS) , Medlive and official website of the National Health Commission were searched for all clinical decisions, guidelines, expert consensus, evidence summary and systematic reviews related to the prevention of PICC catheter-related bloodstream infections. The retrieval time limit was from the establishment of the databases to May 2021. Four researchers evaluated the quality of the literature, and two researchers extracted and summarized the evidence.
ResultsA total of 9 articles were included, including 1 clinical decision, 1 standard of practice, 4 guidelines and 3 evidence summaries. Finally, 29 pieces of evidence were included from 5 dimensions, including organization management, infusion tool selection, catheterization maintenance and use, health education and extubation.
ConclusionsThe summary of the best evidence for the prevention of PICC related bloodstream infection covers a wide range of areas. Managers and clinical medical staff should apply the evidence according to the specific medical situation to reduce the occurrence of clinical PICC catheter-related bloodstream infection.
Key words:
Bloodstream infection; Prevention; Peripherally inserted central catheters; Summary of evidence
Contributor Information
Wang Chunli
Department of Nursing, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, China, Beijing 100045, China
Wu Siting
Department of Nursing, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, China, Beijing 100045, China
Wu Xinyi
Department of Nursing, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, China, Beijing 100045, China
Wu Ying
Department of Oncology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, China, Beijing 100045, China
Ding Yaguang
Department of Blood Therapy, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, China, Beijing 100045, China
