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dc.contributor.authorRickard, Claireen_US
dc.contributor.authorVannapraseuth, Bounen_US
dc.contributor.authorMcGrail, Matthewen_US
dc.contributor.authorKeene, Lorraineen_US
dc.contributor.authorRambaldo, Samen_US
dc.contributor.authorSmith, Chloeen_US
dc.contributor.authorRay-Barruel, Gillianen_US
dc.date.accessioned2017-04-24T12:57:54Z
dc.date.available2017-04-24T12:57:54Z
dc.date.issued2009en_US
dc.date.modified2010-05-10T06:48:40Z
dc.identifier.issn09621067en_US
dc.identifier.doi10.1111/j.1365-2702.2009.02870.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/29583
dc.description.abstractAims. To examine the level of microbial colonisation in intravenous fluids after 24 hours of use in an acute care setting to determine the necessity of changing infusate bags on a time-related basis. Background. Catheter-related bloodstream infections are a serious and life-threatening complication of intravascular devices. Colonised intravenous fluids are one potential source of infection; however, there is little published literature on incidence rates and few recent studies. Routine intravenous fluid replacement has been advocated as an infection control method, but the effectiveness of this is unknown and the optimal duration for infusate use remains uncertain. Design. Cross-sectional study over 18 months in a 257-bed teaching hospital. Methods. Infusate specimens (n = 264) were obtained from crystalloid fluids that had been used for 24 hours or more. Microbiological culture and sensitivity testing was performed and infusate-related bloodstream infection (IRBSI) rates were recorded. Sample testing of previously unopened intravenous solutions acted as a control. Results. The infusate colonisation rate was 0紥, or 0簹 per 1000 infusion hours. The only isolated organism was coagulase-negative Staphylococcus. Infusions had been in use for 24-185 hours (1-8 days). There was no difference in median duration of use for colonised (35簠hours) and sterile (34簠hours) specimens (Mann-Whitney test, p = 0繹). There were no cases of IRBSI. Conclusion. The incidence of intravenous fluid colonisation and the risk of related bloodstream infection are low even after several days of infusate use. Current practice appears to successfully maintain the sterility of intravenous fluids. Relevance to clinical practice. Routine replacement of intravenous fluids continues in many settings, often 24 hourly, in the belief that this prevents infection. We found no relationship between duration of use and colonisation and routine replacement may be unnecessary. Further research is needed to investigate the effectiveness of routinely replacing intravenous fluids at set time points to prevent colonisation and infection.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent105771 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishingen_US
dc.publisher.placeUnited Kingdomen_US
dc.publisher.urihttp://www.wiley.com/bw/journal.asp?ref=0962-1067&site=1en_AU
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom3022en_US
dc.relation.ispartofpageto3028en_US
dc.relation.ispartofissue21en_US
dc.relation.ispartofjournalJournal of Clinical Nursingen_US
dc.relation.ispartofvolume18en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchInfectious Diseasesen_US
dc.subject.fieldofresearchcode111003en_US
dc.subject.fieldofresearchcode110309en_US
dc.titleThe relationship between intravenous infusate colonisation and fluid container hang timeen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 2009 Wiley-Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.The definitive version is available at www.interscience.wiley.comen_AU
gro.date.issued2009
gro.hasfulltextFull Text


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