Peripheral Intravenous Catheter Complications in Hospitalized Cats: An Observational Pilot Study

Bush, Kaleigh M.; Odunayo, Adesola; Hedges, Katherine; Guieu, Liz-Valérie; Smith, Rebecca J.; Okafor, Chika C.

doi:10.1016/j.tcam.2020.100456

Cited by 7 publications

(19 citation statements)

References 25 publications

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“…Approximatively half of the devices, specifically 57% in dogs and 48% in cats, were removed because they were no longer needed. This data is slightly different compared with a previous study on the feline population, in which 78.6% of catheters were removed for disuse secondary to discharge from hospital or euthanasia [ 28 ].…”

Section: Discussioncontrasting

confidence: 78%

“…Accordingly, the incidence of overall complications observed in the present study was notable compared with those reported in the aforementioned studies [ 2 , 28 ]. This discrepancy may be attributed to the different management of peripheral catheters in different settings.…”

Section: Discussionsupporting

confidence: 54%

“…The incidence rate of non-infectious complications associated with peripheral intravenous catheters has only been evaluated in cats [ 28 ], and the analysis of risk factors associated with PIVC in veterinary medicine is still lacking.…”

Section: Discussionmentioning

confidence: 99%

“…This study included dogs and cats with a wide variety of clinical conditions who were subsequently admitted as both intensive and non-intensive inpatients, whereas in other studies, only patients admitted in intensive care units were enrolled. Although strong and moderate reactions during catheter insertion were underrepresented, animals with a more active temperament might have disrupted the devices’ stability, increasing the likelihood of mechanical or mixed complications [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indwelling time was evaluated in veterinary medicine mainly as a risk factor for the onset of bacterial colonization; however, evidence about a routine replacement after a given period, rather than replacement when clinically indicated, is lacking. Specifically, catheters’ time of permanence in situ is related to contamination rates in devices and incidence of complications in some studies [ 11 , 14 , 29 ], whereas others failed to identify any association between these variables [ 12 , 13 , 28 ]. Interestingly, a correlation was found between the time of permanence and increasing values of VIP scores during the present study.…”

Section: Discussionmentioning

confidence: 99%

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Inflammatory, Mechanical and Infectious Complications Associated with Peripheral Intravenous Catheters in Dogs and Cats: A Risk Factor Analysis

Crisi

Santis

Aste

et al. 2022

Veterinary Sciences

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The placement of peripheral intravenous catheters (PIVC) is potentially associated with complications that negatively impact healthcare. Our study investigated factors associated with the occurrence of PIVC-related complications in dogs and cats at a Veterinary Teaching Hospital. The second aim was to determine the prevalence of PIVC bacterial colonization. A total of 76 dogs and 40 cats with PIVCs were evaluated for the occurrence of phlebitis and mechanical complications. The devices were removed when they ceased to be functional or when complications occurred, and the content was submitted for bacterial cultures and antimicrobial susceptibility tests. Both multivariable linear regression models and ROC analysis were employed. Complications were recorded in 46.6% of cases, and 20.7% of catheters yielded a positive culture. Among the isolates, 45% were classified as multi-resistant. In dogs, a ≥36-h indwelling time was associated with an increased risk of complications. Male cats seem more prone to developing complications, while the insertion of PIVCs under sedation may represent a protective factor in this species. In conclusion, PIVC-associated complications were frequently observed, and the high rate of positive culture for PIVCs, together with the presence of multi-resistant isolates, is a cause of concern in a hospital setting.

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%