2022
DOI: 10.1155/2022/6383777
|View full text |Cite
|
Sign up to set email alerts
|

A Meta-Analysis of Incidence of Catheter-Related Bloodstream Infection with Midline Catheters and Peripherally Inserted Central Catheters

Abstract: In order to provide reference for the prevention and treatment of CRBSI during clinical intravenous infusion therapy, this paper investigates the incidence of catheter-related bloodstream infection (CRBSI) in the treatment of midline catheters (MCs) and peripherally inserted central catheters (PICCs) by intravenous infusion. Web of Science, PubMed, Scopus, Embase, Cochrane Library, and ProQuest are searched to collect CRBSI-related studies on MC and PICC. The retrieval time is from the database construction to… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
2

Citation Types

1
6
0
2

Year Published

2022
2022
2024
2024

Publication Types

Select...
6

Relationship

0
6

Authors

Journals

citations
Cited by 9 publications
(9 citation statements)
references
References 21 publications
1
6
0
2
Order By: Relevance
“…With the exclusion of cancer, home care, and pediatric studies, the results were intended to project an incidence of complications occurring within the general population. The pooled results of the outcomes in the study align with other prior research on PICC-related thrombosis and infection for incidence ranges of 0-7.8% for CRT and 0-3.6% for CABSI [88][89][90][91][92][93]. The one outlier publication in our review had a significantly higher sepsis rate of 29% for PICCs and 27% for midlines and was excluded from the final pooled results to preserve a conservative approach to the incidence rating and not inflate the cost savings potential [11].…”
Section: Discussionsupporting
confidence: 76%
“…With the exclusion of cancer, home care, and pediatric studies, the results were intended to project an incidence of complications occurring within the general population. The pooled results of the outcomes in the study align with other prior research on PICC-related thrombosis and infection for incidence ranges of 0-7.8% for CRT and 0-3.6% for CABSI [88][89][90][91][92][93]. The one outlier publication in our review had a significantly higher sepsis rate of 29% for PICCs and 27% for midlines and was excluded from the final pooled results to preserve a conservative approach to the incidence rating and not inflate the cost savings potential [11].…”
Section: Discussionsupporting
confidence: 76%
“…One unexpected finding of our study was the very low incidence of symptomatic CRT, which occurred in none of the PICCs and in only 2 of the MCs. The actual incidence of CRT in PICCs has been discussed in many papers in the last decade 18 , with some authors suggesting that PICCs may be associated with the higher incidence of CRT if compared to CICCs 19 , 20 vs. other authors arguing that, when PICCs are inserted according to the current international recommendations (choice of a proper ratio between catheter caliber and vein diameter, ultrasound-guided puncture, correct intraprocedural verification of the position of the tip, sutureless securement, and so on), the risk of PICC-related thrombosis may be very low or even zero 21 , 22 , 23 . In this regard, the data collected in this study seem to confirm the latter view.…”
Section: Discussionmentioning
confidence: 99%
“…It effectively reduces puncture frequency, alleviates patient discomfort, and facilitates clinical rescue efforts. [4] However, the placement of a PICC is a risky process, and long-term PICC use can lead to catheter-related complications, [5] potentially causing vessel wall damage and thrombus formation. [6] Sodium citrate is the salt of citric acid and sodium.…”
Section: Introductionmentioning
confidence: 99%