Does a Dedicated Lumen for Parenteral Nutrition Administration Reduce the Risk of Catheter-Related Bloodstream Infections? A Systematic Literature Review

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Gavin, Nicole Clare
Button, Elise
Castillo, Maria Isabel
Ray-Barruel, Gillian
Keogh, Samantha
McMillan, David J
Rickard, Claire M
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2018
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Abstract

Guidelines recommend using single-lumen central vascular access devices (CVADs) for the administration of parenteral nutrition (PN) or lipid-based solutions, or a dedicated lumen on a multilumen CVAD. Publications reviewed by the authors reported comparative rates of catheter-related bloodstream infection (CR-BSI) in patients with CVADs who received PN through a dedicated lumen compared with those who had PN administered through multilumen CVADs. Two studies included 650 patients with 1349 CVADs. CR-BSIs were equally distributed between the 2 groups. Both studies were poorly reported and had significant risk of bias. These results should be interpreted with caution.

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Journal of Infusion Nursing

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41

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2

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Nursing

Nursing not elsewhere classified

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