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dc.contributor.authorUllman, AJ
dc.contributor.authorTakashima, M
dc.contributor.authorKleidon, T
dc.contributor.authorRay-Barruel, G
dc.contributor.authorAlexandrou, E
dc.contributor.authorRickard, CM
dc.date.accessioned2019-11-05T23:51:54Z
dc.date.available2019-11-05T23:51:54Z
dc.date.issued2019
dc.identifier.issn0882-5963
dc.identifier.doi10.1016/j.pedn.2019.09.023
dc.identifier.urihttp://hdl.handle.net/10072/388881
dc.description.abstractPurpose: To describe worldwide characteristics, performance and risk factors of peripheral intravenous catheters (PIVCs), in pediatrics. Design: A secondary, subgroup analysis of pediatric (<18 years) data was undertaken, using a global, cross-sectional study of PIVCs. Practice characteristics included: demographic, diagnostic, utility, management, performance and resources. Multivariate regression identified complication risks factors. Results: Data from 4206 children in 278 hospitals across 47 countries. Most PIVCs (outside of Australia, New Zealand) were inserted by nurses (71%; n = 2950), with dedicated teams only common in North America (23.2%; n = 85). Large gauges (≤18G) were mostly used in South America, Europe and Africa. Regions predominantly placed 24G (49%; n = 2060) except in Australia and New Zealand, who more commonly placed 22G (38.7%; n = 192). The most common placement was the hand (51%; n = 2143), however North America, Australia and New Zealand frequently utilised the antecubital fossa (24.5%, n = 90; 21.4%; n = 106). Polyurethane dressings were most used (67.1%; 2822), and many were not clean, dry and intact (17.1%; n = 715). Over 8% of PIVCs were idle, with the highest rates in North America (21.2%; n = 78). PIVC local complication risk factors included: >2 years age (odds ratio [OR] > 1.58; 1.2–2.1); ambulance/emergency insertion (OR 1.65; 1.2–2.3); upper arm/antecubital placement (OR 1.44; 1.1–2.0); poor dressing integrity (OR 5.4; 4.2–6.9); and 24–72 h dwell (OR > 1.9; 1.3–2.6). Conclusions: There is global inconsistency in pediatric PIVC practice, which may be causing harm. Clinical implications: Improvements in pediatric PIVC placement, dressings, and gauge selection are needed.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited States
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto8
dc.relation.ispartofjournalJournal of Pediatric Nursing
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1114
dc.subject.keywordsCatheterization
dc.subject.keywordsEvidence-based practice
dc.subject.keywordsInfection control
dc.subject.keywordsPediatrics
dc.subject.keywordsPeripheral
dc.titleGlobal pediatric peripheral intravenous catheter practice and performance: A secondary analysis of 4206 catheters
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationUllman, AJ; Takashima, M; Kleidon, T; Ray-Barruel, G; Alexandrou, E; Rickard, CM, Global pediatric peripheral intravenous catheter practice and performance: A secondary analysis of 4206 catheters, Journal of Pediatric Nursing, 2019
dcterms.dateAccepted2019-09-11
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2019-11-04T02:36:59Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2019 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorRickard, Claire
gro.griffith.authorUllman, Amanda J.
gro.griffith.authorRay-Barruel, Gillian A.
gro.griffith.authorTakashima, Mari
gro.griffith.authorAlexandrou, Evan
gro.griffith.authorKleidon, Patricia


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