Evidence map›Paper›PMID 31367345›Full record

Observational studyAntimicrobial resistance and infection control2019

Incidence of peripheral intravenous catheter failure among inpatients: variability between microbiological data and clinical signs and symptoms.

Ian Blanco-Mavillard, Miguel Ángel Rodríguez-Calero, Joan de Pedro-Gómez, Gaizka Parra-García, Ismael Fernández-Fernández, Enrique Castro-Sánchez

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Antimicrobial resistance and infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Care for peripheral intravenous catheter: an audit in two French university hospitals.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Observational
  8. Impact of an interventional bundle on complications associated with peripheral venous catheters in elderly patients.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Reducing Risks and Improving Vascular Access Outcomes.Journal of infusion nursing : the official publication of the Infusion Nurses Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Ian Blanco-MavillardQuality, Teaching and Research Unit, Hospital Manacor, Cra. de Manacor-Alcudia s/n, 07500 Manacor, Spain.ORCID 0000-0003-2851-5631
Miguel Ángel Rodríguez-Calero2Servei de Salut de les Illes Balears, Palma, Spain.
Joan de Pedro-Gómez3Universitat de les Illes Balears, Palma, Spain.
Gaizka Parra-García5Hospital Sant Joan de Deu, Palma, Spain.
Ismael Fernández-FernándezQuality, Teaching and Research Unit, Hospital Manacor, Cra. de Manacor-Alcudia s/n, 07500 Manacor, Spain.
Enrique Castro-Sánchez6NIHR Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, London, UK.
Fundación Hospital Manacor · ESHospital Sant Joan de Déu Barcelona · ESPublic Health England · GBResearch Institute of Health Sciences · ESServei de Salut de les Illes Balears · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Peripheral intravenous catheters (PIVCs) are the most widely used invasive devices among inpatients. Catheter-related bloodstream infections (CRBSI) are serious yet preventable events for patients. Although the contribution of PIVCs towards these infections is gradually being recognised, its role in the Spanish setting is yet to be determined. We aimed to estimate the rate and incidence of PIVC failure at Manacor hospital (Spain) as baseline within a wider quality improvement initiative. Methods: Tips from all PIVC removed during December 2017 and January 2018 in hospital wards were cultured semiquantitatively. The study population included all PIVCs inserted in adult patients admitted to any of three medical and one surgical wards, emergency department, critical care unit and operating rooms. Clinical, microbiological and ward information was collected by clinical researchers for each PIVC from insertion to removal on the study sites. CRBSI was defined per international guidelines (i.e., Centers for Disease Control and Prevention, USA). Data was analysed descriptively. Results: Seven hundred and eleven tips were cultured, with 41.8% (297/711) reported as PIVC failure. The PIVC failure rate density-adjusted incidence for hospital length of stay (HLOS) was 226.2 PIVC failure/1000 HLOS. 5.8% (41/711) tips yielded positive isolates, with most frequent microorganisms Conclusions: Our findings show that almost 42% PIVCs resulted in unplanned removal, amplifying the importance in terms of morbidity, mortality and patient safety. A high number of positive tip cultures without clinical signs and symptoms was observed. We underpin the importance to remove unnecessary PIVCs for the prevention of CRBSI.

Indexed as

AgedAged, 80 and overBacteremiaBacteriaBacteriological TechniquesCatheterization, PeripheralCatheter-Related InfectionsDevice RemovalFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedPatient SafetyPhylogenyAdverse eventsCatheter failureCatheter-related bloodstream infectionsPeripheral intravenous catheterVascular access device

Identifiers

PMID31367345
PMCPMC6647274
OpenAlexW2963460405

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.