2012, Number 2
Change frequency of serum and blood equipment, a review
Language: Spanish
References: 37
Page:
PDF size: 194.67 Kb.
ABSTRACT
Serum and blood equipment are essential in intravenous therapy, allowing the management of fluid variable volumes through an intravascular route previously enabled in the patient. The time that equipment can remain in use without risk of infection has varied from the seventies, thanks to the contribution of numerous investigations. Intervals of replacement from 24 up to 168 hours have been proposed. Although the topic has been updated in guides adopted globally, not always corresponds to what has been published in manuals and other sources. A review was carried out to identify relevant aspects about the optimum interval for replacement of intravenous administration equipment used in hospital services, in contrast to what has been published in our basic texts of nursing. A search detailed in Internet took place, identifying 28 relevant periodic documents. It settles like optimal interval for the replacement of the equipment the 96 hours for infusions that do not contain lipids. For parenteral lipids the equipment must be replaced with each administered bottle, unless the additional units are instilled of consecutive way, always within the 24 hours. In relation to the transfusion equipment, it must be changed each 4 units or every 12 hours.REFERENCES
Maki DG. Botticelli JT, LeRoy ML, Thielke TS. Prospective study of replacing administration sets for intravenous therapy at 48 vs 72 hour intervals. 72 hours is safe and cost-effective. JAMA [Internet]. 1987 [citado 27 Ene 2011]; 258: 1777-81. Disponible en: http://jama.ama-assn.org/content/258/13/1777.short
Matlow AG, Kitai I, Kirpalani H, Chapman NH, Corey M, Perlman M, et al. A randomized trial of 72- versus 24-hour intravenous tubing set changes in newborns receiving lipid therapy. Infect Control Hosp Epidemiol [Internet]. 1999 [citado 27 Ene 2011]; 20:487-93. Disponible en: http://www.jstor.org/stable/10.1086/501657
O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR [Internet]. 2002 [citado 27 Ene 2011]; 51(No. RR-10): 1-29. Disponible en: http://aappolicyaappublications.awaith.info/cgi/content/abstract/pediatrics;110/5/e51
Gillies D, Wallen MM, Morrison AL, Rankin K, Nagy SA, O’Riordan E. Optimal timing for intravenous administration set replacement. Cochrane Database of Systematic Reviews [Internet]. 2005 [citado 16 Mar 2011]. Issue 4. Art. No.: CD003588. DOI: 10.1002/14651858.CD003588.pub2. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003588.pub2/pdf/standard
Raad I, Hanna HA, Awad A, Alrahwan A, Bivins C, Khan A, et al. Optimal frequency of changing intravenous administration sets: is it safe to prolong use beyond 7 2 hours? Infect Control Hosp Epidemiol [Internet]. 2001 [citado 27 Ene 2011]; 22(3):136-9. Disponible en: http://www.jstor.org/stable/10.1086/501879
Rickard CM, Lipman J, Courtney M, Siversen R, Daley P. Routine changing of intravenous administration sets does not reduce colonization or infection in central venous catheters. Infect Control Hosp Epidemiol [Internet]. 2004 [citado 27 Ene 2011]; 25:650-5. Disponible en: http://www.jstor.org/stable/10.1086/502456
Rickard CM, Wallis SC, Courtney M, Lipman J, Daley PJP. Intravascular administration sets are accurate and in appropriate condition after 7 days of continuous use: an in vitro study. J Adv Nurs [Internet]. 2002 [citado 27 Ene 2011]; 37(4): 330-7. Disponible en: http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2648.2002.02099.x/full
Simon A, Fleischhack G, Wiszniewsky G, Hasan C, Bode U, Kramer M H. Influence of prolonged use of intravenous administration sets in paediatric cancer patients on CVAD-related bloodstream infection rates and hospital resources. Infection [Internet]. 2006 [citado 27 Ene 2011]; 34(5): 258–63. http://www.springerlink.com/index/C2048786425MN891.pdf
Ballesteros Ramos A, Blanco Iglesias F, González C. Asistencia de enfermería en el apoyo nutricional a pacientes graves. En: León Román CA, Suárez López D, Barrera Sotolongo J, Riscart Rivero A, Ballestero Ramos A, Blanco Iglesias F, et al. Enfermería en urgencias II. La Habana: ECIMED; 2008. p. 729-60.
Labeau S, Vereecke A, Vandijck DM, Claes B, Blot SI. Critical care nurses’ knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. Am J Crit Care [Internet]. 2008 [citado 10 Nov 2011]; 17(1): 65-71. Disponible en: http://ajcc.aacnjournals.org/content/16/4/371.short
Labeau SO, Vandijck DM, Rello J, Adam S, Rosa A, Wenisch C, et al. Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related infection: Results of a knowledge test among 3405 European intensive care nurses. Crit Care Med [Internet]. 2009 [citado 10 Nov 2011]; 37(1): 320-23. Disponible en: http://journals.lww.com/ccmjournal/Abstract/2009/01000/Centers_for_Disease_Control_and_Prevention.44.aspx
Rickard CM, Vannapraseuth B, McGrail MR, Keene LJ, Rambaldo S, Smith CA, et al. The relationship between intravenous infusate colonisation and fluid container hang time. J Clin Nurs [Internet]. 2009 [citado 10 Nov 2011]; 18: 3022–8. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2009.02870.x/full