Evidence map›Paper›PMID 41804526›Full record

SynthesisInternational wound journal2026

Effectiveness and Safety of Different Dressing and Securement Methods for Peripheral Intravenous Catheters: A Systematic Review and Meta-Analysis.

Afina Chaerunnisa, Auxillia Madhuvu, Danielle Najm, Ensieh Fooladi, Victoria Team

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International wound journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Afina ChaerunnisaSchool of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0009-0008-9590-119X
Auxillia MadhuvuSchool of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Danielle NajmSchool of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-4701-9553
Ensieh FooladiSchool of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Victoria TeamSchool of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-6615-6874

Funding

Lembaga Pengelola Dana Pendidikan
6 · The paper itself

Abstract

Peripheral intravenous catheters (PIVCs) are widely used in hospital settings but are associated with high failure rates and patient safety risks. Various dressing and securement methods have been implemented to mitigate these complications. This systematic review aimed to systematically review the effectiveness and safety of different dressing and securement methods for PIVCs in hospitalised adult and paediatric patients. Randomised controlled trials (RCTs) published between 1959 and 2024 were identified through searches of CENTRAL, CINAHL, Ovid EMBASE, and Ovid MEDLINE. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool, and certainty of evidence was evaluated using GRADE. Outcomes included PIVC failure, dislodgement, occlusion, infiltration, extravasation, phlebitis, and catheter-related bloodstream infection (CRBSI), analysed using risk ratios where meta-analysis was feasible. Dwell time was reported descriptively as mean or median values. Fifteen RCTs involving 5542 participants evaluated eight PIVC dressing and securement methods. In adult populations, tissue adhesive significantly reduced PIVC failure compared with transparent polyurethane dressing (risk ratio [RR] 0.83, 95% confidence interval [CI] 0.73-0.95), as well as dislodgement (RR 0.60, 95% CI 0.42-0.84) and occlusion (RR 0.73, 95% CI 0.57-0.94). Transparent polyurethane dressing was associated with lower dislodgement rates compared with gauze in adults. Other comparisons showed no statistically significant differences or were informed by single studies only, limiting the strength of conclusions. Evidence in paediatric populations was sparse and predominantly derived from individual trials. Tissue adhesive appears effective in reducing PIVC failure and mechanical complications in adults. Its effectiveness in pediatric patients remains uncertain, highlighting the need for further adequately powered trials.

Indexed as

BandagesCatheterization, PeripheralCatheter-Related InfectionsAdultChildFemaleHumansMaleMiddle AgedRandomized Controlled Trials as Topicdressingmeta‐analysisperipheral intravenous cathetersecurement devicesystematic reviewtissue adhesives

Identifiers

PMID41804526
PMCPMC12972635

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.