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Impact of an interventional bundle on complications associated with peripheral venous catheters in elderly patients

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European Journal of Clinical Microbiology & Infectious Diseases Aims and scope Submit manuscript

Abstract

Purpose

Elderly patients admitted to geriatrics departments often require peripheral venous catheters (PVC), which should be inserted and maintained following a series of preventive recommendations. Our objective was to evaluate the impact of a training bundle comprising measures aimed at reducing complications associated with the use of PVC in elderly patients admitted to a tertiary teaching hospital.

Methods

We performed a prospective study of patients who received a PVC within 24 h of admission to a geriatrics department. After a 10-month pre-interventional period, we implemented an educational and interventional bundle over a 9-month period. Follow-up was until catheter withdrawal. We analyzed and compared clinical and microbiological data between both study periods.

Results

A total of 344 patients (475 PVC) were included (pre-intervention period, 204 patients (285 PVC); post-intervention period, 140 patients (190 PVC)). No statistically significant differences in demographic characteristics were observed between the study periods. The colonization and phlebitis rates per 1000 admissions in both periods were, respectively, 36.7 vs. 24.3 (p = 0.198) and 81.5 vs. 65.1 (p = 0.457). The main reason for catheter withdrawal was obstruction/malfunctioning (33.3%). Obstruction rate was higher for those inserted in the hand than for those inserted at other sites (55.7% vs. 44.3%, p = 0.045).

Conclusions

We found no statistically significant differences regarding phlebitis and catheter tip colonization rates. It is necessary to carry out randomized studies assessing the most cost-effective measure to reduce complications associated with PVC.

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Data availability

Data sharing is not applicable to this article, as no datasets were generated or analyzed during the study.

Code availability

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Acknowledgements

We thank Thomas O’Boyle for his help in the preparation of the manuscript.

Funding

M. Guembe is supported by the Miguel Servet Program (ISCIII-MICINN, MS18/00008) of the Health Research Fund (FIS), Carlos III Health Institute (ISCIII), Madrid, Spain. The study was partially funded by grants from the ISCIII (PI18/00045, PI21/00344), the European Regional Development Fund (FEDER) “A way of making Europe,” and from Fundación MUTUA Madrileña (FMM21/01).

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Authors and Affiliations

  1. Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Dr. Esquerdo, 46, 28007, Madrid, Spain

    María Jesús Pérez-Granda, Álvaro Irigoyen-von-Sierakowski, Martha Kestler, Patricia Muñoz & María Guembe

  2. Department of Nursing, School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain

    María Jesús Pérez-Granda

  3. CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain

    María Jesús Pérez-Granda & Patricia Muñoz

  4. Intermal Medicine Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain

    Neera Toledo

  5. Geriatric Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain

    Eva Rodríguez, María Luisa Cruz, Giovanna Hernanz & José Antonio Serra

  6. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain

    José Antonio Serra, Patricia Muñoz & María Guembe

  7. Biomedical Research Networking Centre On Frailty and Healthy Ageing, CIBERFES, Madrid, Spain

    José Antonio Serra

  8. Department of Medicine, School of Medicine, Universidad Complutense, Madrid, Spain

    José Antonio Serra & Patricia Muñoz

Authors
  1. María Jesús Pérez-Granda
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  2. Álvaro Irigoyen-von-Sierakowski
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  3. Neera Toledo
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  8. Martha Kestler
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  9. Patricia Muñoz
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  10. María Guembe
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Contributions

MG and MJPG were responsible for the organization and coordination of the trial. MG and JAS were the chief investigators and responsible for the data analysis. AIVS and NT collected the clinical data. ER, MLC, GH, and MK were responsible for the implementation of the bundle and patient recruitment. PM and JAS approved the final manuscript. All authors contributed to the writing of the final manuscript.

Corresponding authors

Correspondence to Patricia Muñoz or María Guembe.

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Ethics approval

The study was approved by the local ethics committee (MICRO.HGUGM.2018–005).

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All of the patients included in the study signed the informed consent document.

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Not applicable.

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The authors declare no competing interests.

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Pérez-Granda, M.J., Irigoyen-von-Sierakowski, Á., Toledo, N. et al. Impact of an interventional bundle on complications associated with peripheral venous catheters in elderly patients. Eur J Clin Microbiol Infect Dis 43, 703–712 (2024). https://doi.org/10.1007/s10096-024-04771-5

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  • DOI: https://doi.org/10.1007/s10096-024-04771-5

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