Peripheral intravenous catheter dwell times: a comparison of 3 securement methods for implementation of a 96-hour scheduled change protocol

J Infus Nurs. Jan-Feb 2006;29(1):14-7. doi: 10.1097/00129804-200601000-00004.

Abstract

A prospective, sequential clinical trial was undertaken to determine whether any of 3 methods of peripheral IV catheter (PIV) securement could extend the average survival time of such catheters sufficiently to allow the implementation of a 96-hour PIV change-protocol. Nonsterile tape, StatLock, and Hub-Guard were evaluated. The use of nonsterile tape securement resulted in an 8% PIV survival rate, HubGuard produced a 9% PIV survival rate, and Statlock produced a 52% PIV survival rate (P<.001). Although this study was not a randomized, controlled trial, it strongly suggests that a mechanical catheter securement device, as opposed to tape or die-cut tape, can render practicable the implementation of the 96-hour PIV change protocol that was sanctioned by the Centers for Disease Control and Prevention.

Publication types

  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adhesives / standards*
  • Adult
  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / instrumentation
  • Catheterization, Peripheral / methods*
  • Catheterization, Peripheral / nursing
  • Catheters, Indwelling* / adverse effects
  • Clinical Nursing Research
  • Clinical Protocols / standards
  • Equipment Design
  • Equipment Failure
  • Humans
  • Infection Control / methods
  • Infection Control / standards
  • Occlusive Dressings
  • Practice Guidelines as Topic
  • Prospective Studies
  • Skin Care / methods
  • Skin Care / nursing
  • Survival Rate
  • Time Factors

Substances

  • Adhesives