The Effect of Nursing Interventions on Catheter-related Bloodstream Infections in Patients Receiving Total Parenteral Nutrition Through Peripherally Inserted Central Catheter Lines
Abstract
Background: Catheter-related blood-stream infection (CRBSI) is a serious and costly complication associated with central venous catheters. Nursing interventions that focus on decreasing bacterial colonization at the insertion site could decrease infection rates. Method: This retrospective study examined CRBSI in patients requiring peripherally inserted central catheters (PICCs) for total parenteral nutrition. One hundred and ninety-two patients with 235 catheters and an average dwell time of 11.5 days participated. Nursing interventions included a chlorhexidine-impregnated sponge dressing and a double skin scrub prior to insertion. Conclusion: The results of the study show that the interventions did not reduce CRBSI in the target population but the double skin scrub did decrease CRBSI in the general PICC population.
Contributor Notes
Sandra C. Sucy, RN, MSN, is a graduate of Roberts Wesleyan College and received her master's degree from the University of Phoenix. Her experience includes staff nursing in long-term care, medical-surgical, telemetry, and intensive care; nursing management in long-term care and nursing education; and community college adjunct faculty. Her experience with PICC lines goes back to 1994 when the organization introduced PICC lines as a vascular access alternative. She cofounded the vascular access program at Unity Health System in 2002 and is proficient in PICC insertion using advanced placement techniques of ultrasound and Modified Seldinger technique. Dennis B. Kupka, II, RN, is a graduate of Genesee Community College. His experience includes staff nursing in surgical services, oncology, and intensive care; case management; oncology management; and clinical educator. He received certification in oncology nursing in 1998 and has been active in oncology education at Unity Health System. Kupka became proficient in PICC line placement in 1997 and has been active in precepting nurses in peripheral vascular access. He cofounded the vascular access program at Unity Health System and is now is proficient in PICC insertion using advanced placement techniques of ultrasound and Modified Seldinger technique. Ruth M. Curchoe, RN, MSN, CIC, is a graduate of Kutztown University and received her masters degree from the University of Pennsylvania. She is a clinical nurse specialist and has held a certification in infection control since 1994. Curchoe is the director of infection control at Unity Health System and has previous experience as a nurse educator, nursing faculty, quality assurance coordinator, nursing management, and staff nursing in critical care and medical-surgical. Curchoe has published numerous articles related to infection control and has presented programs related to infection-control topics both in health care organizations and the community.