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Peripherally inserted central catheter postinsertion complications: A retrospective study

Background: Peripherally inserted central catheters (PICCs) are increasing in popularity with over 4.3 million insertions globally each year. However, there remains little quality evidence as to the safest catheter to insert with the lowest levels of postinsertion complications. Methods: Retrospective chart audit comprising adult patients having either a silicone or polyurethane PICC inserted by specialist nurses in the Medical Imaging Department over a predetermined time frame. Data extracted from the charts included demographic data, patient status, reason for insertion, and reason for removal of a PICC. Results: A total of 295 PICC insertions were included in the study. Of these, 141 were silicone PICCs and 154 were polyurethane PICCs. The sample comprised various patient groups including 142 inpatients, 80 outpatients, and 73 transitional. As to reasons for requiring a PICC, 102 patients were oncology patients, 164 patients required intravenous antibiotics, and 29 patients required other types of medications. Reasons for removal of catheter varied from no complication/completion of therapy (67.8%) to infection (11.2%), migration (5.8%), deceased (4.7%), occlusion (3.7%), thrombus (2.7%), breakage (2.7%), phlebitis (0.3%), and upgrade to triple lumen catheter (0.3%). Conclusions: PICCs remain safe and reliable; the greatest predictors of postinsertion complications were number of lumens and oncology patient groups. The emerging trend of health services to transition inpatients to outpatients in the community with catheters in situ was shown to be a safe practice. © 2019 Association for Vascular Access.

History

Volume

24

Issue

1

Start Page

10

End Page

20

Number of Pages

11

eISSN

1557-1289

ISSN

1552-8855

Publisher

Elsevier, US

Peer Reviewed

Yes

Open Access

No

Acceptance Date

03/12/2018

Era Eligible

Yes

Journal

JAVA - Journal of the Association for Vascular Access