EFFECT OF CATHETER TUNNELLING AND A NUTRITION NURSE ON CATHETER SEPSIS DURING PARENTERAL NUTRITION: A Controlled Trial
In a three-year controlled trial of subcutaneous catheter tunnelling as a method of reducing total parenteral nutrition (TPN) catheter sepsis 99 silicone catheters (52 tunnelled, 47 untunnelled) were inserted into the subclavian (94%) or jugular (6%) veins under aseptic conditions. The influence of...
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| Veröffentlicht in: | The Lancet (British edition) 1983-12, Vol.322 (8364), p.1388-1390 |
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| container_issue | 8364 |
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| container_title | The Lancet (British edition) |
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| creator | Keohane, P.P. Attrill, Helen Northover, J. Jones, B.J.M. Cribb, A. Frost, P. Silk, D.B.A. |
| description | In a three-year controlled trial of subcutaneous catheter tunnelling as a method of reducing total parenteral nutrition (TPN) catheter sepsis 99 silicone catheters (52 tunnelled, 47 untunnelled) were inserted into the subclavian (94%) or jugular (6%) veins under aseptic conditions. The influence of a nutrition nurse, who joined the nutrition team after 18 months, on catheter sepsis rate was also documented. Catheter sepsis was confirmed in 13 of 47 (28%) untunnelled catheters and only 6 of 52 (11·5%) tunnelled catheters (p |
| doi_str_mv | 10.1016/S0140-6736(83)90922-4 |
| format | Article |
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The influence of a nutrition nurse, who joined the nutrition team after 18 months, on catheter sepsis rate was also documented. Catheter sepsis was confirmed in 13 of 47 (28%) untunnelled catheters and only 6 of 52 (11·5%) tunnelled catheters (p<0·05). A nutrition nurse reduced sepsis rate from 33% (tunnelled 6, untunnelled 11) to 4% (0 tunnelled; 2 untunnelled) (p<0·001). There was no significant difference between tunnelled and untunnelled catheters in sepsis rates after the arrival of the nutrition nurse. Although 85% patients had concurrent internal sepsis, the pathogens implicated in catheter sepsis came from superficial sites in 16 of 19 cases (p<0·01). Rigorous aseptic nursing care is thus the most significant factor in the reduction of TPN catheter sepsis, but tunnelling can reduce sepsis rate when nursing care is suboptimum.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(83)90922-4</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine ; Emergency and intensive care: metabolism and nutrition disorders. 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The influence of a nutrition nurse, who joined the nutrition team after 18 months, on catheter sepsis rate was also documented. Catheter sepsis was confirmed in 13 of 47 (28%) untunnelled catheters and only 6 of 52 (11·5%) tunnelled catheters (p<0·05). A nutrition nurse reduced sepsis rate from 33% (tunnelled 6, untunnelled 11) to 4% (0 tunnelled; 2 untunnelled) (p<0·001). There was no significant difference between tunnelled and untunnelled catheters in sepsis rates after the arrival of the nutrition nurse. Although 85% patients had concurrent internal sepsis, the pathogens implicated in catheter sepsis came from superficial sites in 16 of 19 cases (p<0·01). Rigorous aseptic nursing care is thus the most significant factor in the reduction of TPN catheter sepsis, but tunnelling can reduce sepsis rate when nursing care is suboptimum.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><recordid>eNpFkNFKwzAUhoMoOKePIOTCC72oJk3SNt5I6dKtULrRpuBdyNIEKnUb7Rj49nabzKvzc_jOz-ED4BGjV4xw8FYhTJEXhCR4jsgLR9z3PXoFJpiG1GM0_LwGkwtyC-6G4QshRAPEJuAg0lQkEi5TmMRyIaQooayLQuR5VsxhXMxgDItalpnMlsWYykrAMVzgSqyqrIKzujzyq7gUxbiO8_-j97Eh2W72_bbrbANl3-ruHtw43Q324W9OQZ0KmSy8fDnPkjj3LGZk7zHLcIMC56xvkEGamHXDDPc5jzg1AWeMuYhFhjfYYU20c4GlJFpTTJvGEEqm4Oncu9OD0Z3r9ca0g9r17bfufxSnJIx8NmIfZ8yOvxxa26vBtHZjbNP21uxVs20VRupoW51sq6NKFRF1sq0o-QWcV2uM</recordid><startdate>19831217</startdate><enddate>19831217</enddate><creator>Keohane, P.P.</creator><creator>Attrill, Helen</creator><creator>Northover, J.</creator><creator>Jones, B.J.M.</creator><creator>Cribb, A.</creator><creator>Frost, P.</creator><creator>Silk, D.B.A.</creator><general>Elsevier Ltd</general><general>Lancet</general><scope>IQODW</scope></search><sort><creationdate>19831217</creationdate><title>EFFECT OF CATHETER TUNNELLING AND A NUTRITION NURSE ON CATHETER SEPSIS DURING PARENTERAL NUTRITION: A Controlled Trial</title><author>Keohane, P.P. ; Attrill, Helen ; Northover, J. ; Jones, B.J.M. ; Cribb, A. ; Frost, P. ; Silk, D.B.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e153t-5e51d06ffe2c0c0a3cbd5c9299894c69555f858c9d1f1a3aff6e438b414ddc343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keohane, P.P.</creatorcontrib><creatorcontrib>Attrill, Helen</creatorcontrib><creatorcontrib>Northover, J.</creatorcontrib><creatorcontrib>Jones, B.J.M.</creatorcontrib><creatorcontrib>Cribb, A.</creatorcontrib><creatorcontrib>Frost, P.</creatorcontrib><creatorcontrib>Silk, D.B.A.</creatorcontrib><collection>Pascal-Francis</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keohane, P.P.</au><au>Attrill, Helen</au><au>Northover, J.</au><au>Jones, B.J.M.</au><au>Cribb, A.</au><au>Frost, P.</au><au>Silk, D.B.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>EFFECT OF CATHETER TUNNELLING AND A NUTRITION NURSE ON CATHETER SEPSIS DURING PARENTERAL NUTRITION: A Controlled Trial</atitle><jtitle>The Lancet (British edition)</jtitle><date>1983-12-17</date><risdate>1983</risdate><volume>322</volume><issue>8364</issue><spage>1388</spage><epage>1390</epage><pages>1388-1390</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>In a three-year controlled trial of subcutaneous catheter tunnelling as a method of reducing total parenteral nutrition (TPN) catheter sepsis 99 silicone catheters (52 tunnelled, 47 untunnelled) were inserted into the subclavian (94%) or jugular (6%) veins under aseptic conditions. The influence of a nutrition nurse, who joined the nutrition team after 18 months, on catheter sepsis rate was also documented. Catheter sepsis was confirmed in 13 of 47 (28%) untunnelled catheters and only 6 of 52 (11·5%) tunnelled catheters (p<0·05). A nutrition nurse reduced sepsis rate from 33% (tunnelled 6, untunnelled 11) to 4% (0 tunnelled; 2 untunnelled) (p<0·001). There was no significant difference between tunnelled and untunnelled catheters in sepsis rates after the arrival of the nutrition nurse. Although 85% patients had concurrent internal sepsis, the pathogens implicated in catheter sepsis came from superficial sites in 16 of 19 cases (p<0·01). Rigorous aseptic nursing care is thus the most significant factor in the reduction of TPN catheter sepsis, but tunnelling can reduce sepsis rate when nursing care is suboptimum.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><doi>10.1016/S0140-6736(83)90922-4</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0140-6736 |
| ispartof | The Lancet (British edition), 1983-12, Vol.322 (8364), p.1388-1390 |
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| source | Access via ScienceDirect (Elsevier) |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Intensive care medicine Medical sciences |
| title | EFFECT OF CATHETER TUNNELLING AND A NUTRITION NURSE ON CATHETER SEPSIS DURING PARENTERAL NUTRITION: A Controlled Trial |
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