{"id":4760,"date":"2022-10-17T00:00:52","date_gmt":"2022-10-17T00:00:52","guid":{"rendered":"https:\/\/eu.bd.com\/iv-news\/?p=4760"},"modified":"2022-11-07T15:40:04","modified_gmt":"2022-11-07T15:40:04","slug":"peripheral-venous-catheters-cost-impact-of-pvc-care-bundles","status":"publish","type":"post","link":"https:\/\/eu.bd.com\/iv-news\/scientific-publications\/peripheral-venous-catheters-cost-impact-of-pvc-care-bundles\/","title":{"rendered":"Peripheral venous catheters: Cost impact of PVC care bundles"},"content":{"rendered":"<p><span data-contrast=\"auto\">Despite being the most commonly used invasive medical device in hospitals, short-term peripheral venous catheters (PVCs) often fail before the end of treatment due to complications such as catheter occlusion, skin infiltration (diffusion), phlebitis, catheter dislodgement and infection.<\/span><sup><span data-contrast=\"auto\">1,2<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/sup><\/p>\n<p><span data-contrast=\"auto\">To understand how to better prevent catheter failure while promoting cost-effectiveness in the hospital, the Maunoury et al. Study, published in February 2022 in the Plos One journal, performs a cost-effectiveness analysis on two different approaches to peripheral venous access in the prevention of unscheduled PVC removal due to complications in France based on the CLEAN-3 study database:<\/span><sup><span data-contrast=\"auto\">3<\/span><\/sup><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ol>\n<li><b><span data-contrast=\"auto\">The PVC care bundle method:<\/span><\/b><span data-contrast=\"auto\"> consisting of a bundle of innovative devices, including a closed integrated PVC, a positive displacement needle-free connector, a disinfecting cap and a sterile pre-filled flush syringe.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">The standard method:<\/span><\/b><span data-contrast=\"auto\"> consisting of a safety peripheral venous catheter to which the infusion line was directly connected, including a three-way stop cock.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><b><span data-contrast=\"auto\">Learn more about vascular access bundles: <\/span><\/b><a href=\"https:\/\/eu.bd.com\/iv-news\/events-training\/care-bundles-and-prevention-of-vascular-access-complications\/\"><b><span data-contrast=\"none\">Care bundles and prevention of vascular access complications<\/span><\/b><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h4><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><b><span data-contrast=\"auto\">The CLEAN-3 clinical study and the benefits of PVC care bundles<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h4>\n<p><span data-contrast=\"auto\">Published in February 2021 in the Lancet Infectious Diseases journal, the CLEAN-3 study followed a large panel of adult patients in the emergency department of Poitiers University Hospital in France with an indication of hospitalisation in a medical ward and a PVC of a predicted duration of at least 48 hours were included in the study.<\/span><span data-contrast=\"auto\">3<\/span><span data-contrast=\"auto\"> Following PVC insertion using one of the two study methods, they were monitored daily for catheter-related complications.<\/span><sup><span data-contrast=\"auto\">3<\/span><\/sup><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">When compared to the standard method, the CLEAN-3 study showed that the use of the PVC care bundle method made it possible to:<\/span><sup><span data-contrast=\"auto\">3<\/span><\/sup><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Reduce the frequency of occurrence of a complication requiring catheter replacement (e.g., phlebitis, diffusion, occlusion, local infection, dislodgement)<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Delay the time of occurrence of these complications<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Reduce the relative risk of PVC failure by 27%<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The study also compared two skin preparation methods prior to PVC insertion and found a 92% reduction risk of infectious complications (catheter colonisation and local infection) with the innovative method chlorhexidine (CHG) when compared to 70% isopropanol (IPA) sterile single-use applicators and standard 5% povidone iodine (PVI), 69% ethanol solution with gauzes.<\/span><span data-contrast=\"auto\"><sup>3\u00a0<\/sup>\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Learn more about skin preparation and infection prevention: <\/span><\/b><a href=\"https:\/\/eu.bd.com\/iv-news\/news-innovation\/achieving-infection-prevention-and-control\/\"><b><span data-contrast=\"none\">Achieving infection prevention and control\u2014The Portuguese Experience<\/span><\/b><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h4><b><span data-contrast=\"auto\">The cost effectiveness analysis of PVC care bundles following the CLEAN-3 results<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h4>\n<p><span data-contrast=\"auto\">Maunoury et al. state that although the PVC care bundle method is slightly more expensive for insertion and per day of use, the standard method requires more frequent and earlier removal of a defective catheter and its replacement, generating an additional expense.<\/span><sup><span data-contrast=\"auto\">4<\/span><\/sup><span data-contrast=\"auto\"> As well, treatment of catheter complications come with their own extra costs.<\/span><sup><span data-contrast=\"auto\">4<\/span><\/sup><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The Maunoury et al. study concludes that the bundled devices (BDs) passed the test for cost-effectiveness within a conservative scenario.<\/span><sup><span data-contrast=\"auto\">4<\/span><\/sup><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The BDs strategy is significantly more effective to prevent PVC-related complications and, therefore, unscheduled PVC removal, when compared to the standard devices approach (SDs), with significant savings for the hospital.<\/span><span data-contrast=\"auto\">4<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Learn more about the Maunoury et al. study and PVC care bundles: <\/span><\/b><a href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0269750#sec033\"><b><span data-contrast=\"none\">Read the full study<\/span><\/b><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<div class=\"su-button-center\"><a href=\"https:\/\/eu.bd.com\/iv-news\/category\/scientific-publications\/\" class=\"su-button su-button-style-default\" 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