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Technique for placement of tunneled cuffed central venous catheter

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We retrospectively compared the Micropuncture kit with the standard 18-gauge Angiocath IV catheter for tunneled cuffed catheter insertion in the right jugular vein” Lee et al (2018). Abstract: Introduction: Tunneled cuffed catheters provide stable, instantaneous, long-term intravenous access for hemodialysis. Because catheterization is often performed in emergency situations, speed and accuracy are emphasized. Methods: We […]

IV lock solution for central venous catheter salvage

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We report several cases of catheter salvage using antibiotic lock solution in staphylococcal bacteremia with the purpose of stimulating the interest in randomized clinical trials. Evaluating the risk and benefits of catheter salvage in this patient subset in light of optimized systemic antibiotic dosing, improved lock solution use, and multidisciplinary involvement, balanced with the critical […]

Predicting and preventing needlestick and sharp injuries

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The aim of the present study was to use a systematic approach for predicting and reducing these injuries” Akbari et al (2018). Abstract: PURPOSE: Recent studies have shown that the rate of needlestick and sharp injuries (NSIs) are unacceptably high in Iranian hospitals. The aim of the present study was to use a systematic approach […]

HIV postexposure prophylaxis among professional health-care workers

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Accidental transmission of HIV infection to HCWs during occupational exposure is a real threat today. The study aimed to assess the knowledge, attitude, and practice of postexposure prophylaxis (PEP) among HCWs in a tertiary health institution in Sokoto, Northwestern Nigeria” Oche et al (2018). Abstract: INTRODUCTION: The prevention of human immunodeficiency virus (HIV/AIDS) among health-care […]

What is the stability of intravenous vitamin C solutions

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Our findings suggest that vitamin C solutions of 1.5 g per 50 mL of 0.9% saline and 2.5 g per 50 mL of D5W remain stable for up to 96 hours and do not need to be protected from light” Carr et al (2018). Abstract: BACKGROUND: There has recently been a surge of interest in […]

Difficult vascular access solution in a patient on chronic hemodialysis

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atients with central venous catheters (CVCs) are prone for recurrent infections, vascular thrombosis, and vascular stenosis, which contribute to significant morbidity and mortality. We present a case of a 31-year-old male who had a transhepatic hemodialysis catheter lasting for 4.5 years” Kumar et al (2018). Extract: Long-term chronic hemodialysis in patients with end-stage renal failure […]

Non-antibiotic antimicrobial catheter lock solutions in patients on home parenteral nutrition

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Recently, however, with the advent of non-antibiotic antimicrobial catheter lock solutions, this approach is gaining popularity as a promising method to decrease rates of CRBSI in HPN patients” Noelting et al (2018). Abstract: Patients on home parenteral nutrition (HPN) are dependent on central venous access for long-term sustenance, and catheter-related bloodstream infections (CRBSIs) are a […]

Frequency of surveillance for central-line-associated bloodstream infections

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Sampling over 2 fixed days per week provides a valid alternative to daily collection of CLABSI denominator data” Kourkouni et al (2018). Abstract: BACKGROUND: Active daily surveillance of central-line days (CLDs) in the assessment of rates of central-line-associated bloodstream infections (CLABSIs) is time-consuming and burdensome for healthcare workers. Sampling of denominator data is a method […]

Repair of damaged central venous catheters is safe and doubles catheter survival

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The aim of this study was to evaluate the effectiveness and safety of catheter repair in our cohort of intestinal failure patients” Wouters et al (2018). Abstract: BACKGROUND & AIMS: Repeated central venous catheter loss due to complications, including material breakage, compromises the options to obtain adequate vascular access in home parenteral nutrition (HPN) patients. […]

Patient self-management of PICC assisted with WeChat smartphone application

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It appears that WeChat follow-up can help improve the incidence of complications, self-care ability, PICC maintenance dependence, and patient satisfaction. However, the WeChat application itself cannot improve patients’ self-management ability. Abstract: WeChat is a smartphone application that may help patients self-manage peripherally inserted central catheters (PICC), although additional data are needed regarding this topic. This […]