Complications of Intravenous Therapy with Steel Needles and Teflon Catheters

Tully, John; Friedland, Gerald; Baldini, L; Goldmann, Donald A.; Kern, F.

doi:10.1097/00132586-198206000-00031

Cited by 15 publications

(23 citation statements)

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“…An analogous situation may be found in the high rate of Malassezia furfur fungemia in neonates and older patients receiving lipids (6,100,155 (188). In a recent study of more than 2,000 short peripheral Teflon and polyurethane catheters, Maki (52,146).…”

Section: Sources Of Microorganisms Causing Infusion-related Infectionsmentioning

confidence: 77%

Pathogenesis of infections related to intravascular catheterization

1993

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Over the past few decades, there have been major technological improvements in the manufacture of intravenous solutions and the manufacture and design of catheter materials. However, the risk of infection in patients receiving infusion therapy remains substantial, in part because of host factors (for example, increased use of immunosuppressive therapy, more aggressive surgery and life support, and improved survival at the extremes of life) and in part because of the availability of catheters that can be left in place for very long periods. Microbial components of normal skin flora, particularly coagulase-negative staphylococci, have emerged as the predominant pathogens in catheter-associated infections. Therefore, efforts to prevent skin microorganisms from entering the catheter wound (such as tunnelling of catheters and use of catheter cuffs and local antimicrobial agents) are logical and relatively effective. The specific properties of microorganisms that transform normally harmless commensals such as coagulase-negative staphylococci into formidable pathogens in the presence of a plastic foreign body are being explored. For example, Staphylococcus epidermidis elaborates a polysaccharide adhesin that also functions as a capsule and is a target for opsonic killing. However, the interactions between microorganism and catheter that lead to adherence, persistence, infection, and dissemination appear to be multifactorial.

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Section: Sources Of Microorganisms Causing Infusion-related Infectionsmentioning

confidence: 77%

Pathogenesis of infections related to intravascular catheterization

1993

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“…Steel needles used as an alternative to catheters for peripheral venous access have the same rate of infectious complications as do Teflon catheters [67,68]. However, the use of steel needles frequently is complicated by infiltration of intravenous (IV) fluids into the subcutaneous tissues, a potentially serious complication if the infused fluid is a vesicant [68].…”

Section: Type Of Catheter Materialsmentioning

confidence: 99%

“…Selection of peripheral catheter A. Select catheters on the basis of the intended purpose and duration of use, known complications (e.g., phlebitis and infiltration), and experience of individual catheter operators [67,68,244]. Category IB B.…”

Section: Category Ib II Surveillancementioning

confidence: 99%

See 1 more Smart Citation

Guidelines for the prevention of intravascular catheter-related infections

O’Grady¹,

Alexander²,

Dellinger³

et al. 2002

American Journal of Infection Control

636

843

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These guidelines have been developed for practitioners who insert catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home health-care settings. This report was prepared by a working group comprising members from professional organizations representing the disciplines of critical care medicine, infectious diseases, health-care infection control, surgery, anesthesiology, interventional radiology, pulmonary medicine, pediatric medicine, and nursing. The These guidelines are intended to provide evidencebased recommendations for preventing catheter-related infections. Major areas of emphasis include 1) educating and training health-care providers who insert and maintain catheters; 2) using maximal sterile barrier precautions during central venous catheter insertion; 3) using a 2% chlorhexidine preparation for skin antisepsis; 4) avoiding routine replacement of central venous catheters as a strategy to prevent infection; and 5) using antiseptic/antibiotic impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (i.e., education and training, maximal sterile barrier precautions, and 2% chlorhexidine for skin antisepsis). These guidelines also identify performance indicators that can be used locally by health-care institutions or organizations to monitor their success in implementing these evidence-based recommendations.

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“…-chemotherapeutic agents should be administered by experienced personnel; -large veins should be chosen preferably in the forearm and, if not possible, a vein in the dorsum of the hand, the wrist or finally the antecubital fossa, in this order [9]; -a flexible (Teflon) catheter should be used instead of a stiff needle [9,10]; -a long-line catheter placed via the antecubital fossa or subclavian vein into the vena cava greatly reduces the risk of extravasation injury; -in the case of children and comatose people the infu sion site should be inspected regularly.…”

Section: Discussionmentioning

confidence: 99%

Localized Bullous Eruptions Caused by Extravasation of Commonly Used Intravenous Infusion Fluids

Robijns

Wit²,

Bosma³

et al. 1991

Dermatology

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Extravasation is a frequent complication associated with intravenous infusions. Two case histories are reported in which blister formation is one of the most striking features after the accident. The infusion fluids are no vesicants but commonly used intravenous infusion fluids. The factors on which the eventual extent of tissue damage depends are discussed, as are the mechanisms by which these factors cause damage on a cellular level. Experienced personnel selecting the right location for the infusion flexible catheters and frequent inspection of the infusion are important factors to prevent extravasation. If extravasation is suspected the infusion should be stopped aspiration should be performed, the extremity involved should be elevated, wet compresses should be applied and exact documentation of the accident is required.

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Complications of Intravenous Therapy with Steel Needles and Teflon Catheters

Cited by 15 publications

References 0 publications

Pathogenesis of infections related to intravascular catheterization

Pathogenesis of infections related to intravascular catheterization

Guidelines for the prevention of intravascular catheter-related infections

Localized Bullous Eruptions Caused by Extravasation of Commonly Used Intravenous Infusion Fluids

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