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Care of Central Venous Catheters for Total Parenteral Nutrition
Author(s) -
Collins Eileen,
Lawson Lauren,
Lau Mary Theresa,
Barder Louise,
Weaver Frances,
Bayer Denise,
Schulz Margaret,
Byrne Ray,
Hauser Marion,
Neubia Alvin,
Dries David
Publication year - 1996
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0115426596011003109
Subject(s) - medicine , parenteral nutrition , central venous catheter , veterans affairs , emergency medicine , catheter , sepsis , intensive care medicine , surgery
This report summarizes data obtained via a mailed questionnaire from 129 Department of Veterans Affairs (VA) hospitals regarding current practices in the care of central venous catheters (CVCs) used for total parenteral nutrition (TPN). The size of VA hospitals' acute medical‐surgical beds ranged from 14 to 1320 (median 168) beds. Over 6000 patients annually received CVCs for TPN. Hospitals reported using triple‐lumen catheters most frequently as their CVC for TPN (80.3%). A povidone‐iodine scrub was used to prepare the skin for CVC insertion by 72.6% of reporting hospitals. Sixty percent of hospitals used transparent polyurethane dressings. Care of CVCs varied among hospitals. Catheter‐related infection and sepsis rates were within the national average, although <50% of responding hospitals provided data on these outcomes. The results of this survey point to the need for a national standardized database relative to patients receiving TPN via a CVC.