Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care, and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.
{"title":"I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting","authors":"G. Ray-Barruel","doi":"10.5737/cvaa-153714","DOIUrl":"https://doi.org/10.5737/cvaa-153714","url":null,"abstract":"Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care, and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85263668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Central venous access devices (CVADs) are a mainstay for many patients receiving mid-to-long-term intravenous therapy. Cancer Institute of NSW programs, eviQ and eviQ Education, provide free online cancer treatment protocols and resources for clinicians, patients and carers. In 2021, the complete suite of eviQ CVAD resources were updated via extensive consultation with vascular access experts and the evidence-based literature to reflect the latest evidence for CVAD management. Resources include eLearning modules, clinical procedures, complication management algorithms, assessment and documentation tools, quizzes, and patient education materials. We encourage readers to explore and promote eviQ and eviQ Education for CVADs and share these resources with nursing, interventional radiology, or medical colleagues caring for patients with a CVAD, as well as patients and carers.
{"title":"New eviQ central venous access device education and resources available","authors":"Kerrie Curtis, Gillian RayBarruel","doi":"10.33235/va.7.2.7-11","DOIUrl":"https://doi.org/10.33235/va.7.2.7-11","url":null,"abstract":"Central venous access devices (CVADs) are a mainstay for many patients receiving mid-to-long-term intravenous therapy. Cancer Institute of NSW programs, eviQ and eviQ Education, provide free online cancer treatment protocols and resources for clinicians, patients and carers. In 2021, the complete suite of eviQ CVAD resources were updated via extensive consultation with vascular access experts and the evidence-based literature to reflect the latest evidence for CVAD management. Resources include eLearning modules, clinical procedures, complication management algorithms, assessment and documentation tools, quizzes, and patient education materials. We encourage readers to explore and promote eviQ and eviQ Education for CVADs and share these resources with nursing, interventional radiology, or medical colleagues caring for patients with a CVAD, as well as patients and carers.","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82794403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin R. Mackie, Christopher Williams, Benjamin Tribe, Jessica Muscat, B. Clarke, J. Schults, Gillian RayBarruel, N. Marsh, Aldon Delport, Darwin Alvarenga
{"title":"The S2C Study – Securing Cannulas in Combat: a simulation-based mixed-method study","authors":"Benjamin R. Mackie, Christopher Williams, Benjamin Tribe, Jessica Muscat, B. Clarke, J. Schults, Gillian RayBarruel, N. Marsh, Aldon Delport, Darwin Alvarenga","doi":"10.33235/va.7.2.12-18","DOIUrl":"https://doi.org/10.33235/va.7.2.12-18","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"21 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82734172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Message from the President","authors":"M. Sutherland","doi":"10.33235/va.7.2.3","DOIUrl":"https://doi.org/10.33235/va.7.2.3","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89701157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Message from the President","authors":"M. Sutherland","doi":"10.33235/va.6.2.3","DOIUrl":"https://doi.org/10.33235/va.6.2.3","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81275613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Message from the President","authors":"M. Sutherland","doi":"10.33235/va.6.1.3","DOIUrl":"https://doi.org/10.33235/va.6.1.3","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80187693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Peripherally inserted central catheters (PICCs) are susceptible to Staphylococcus aureus (S. aureus) colonisation and subsequent dissemination into the bloodstream, leading to central line-associated bloodstream infections (CLABSI). Current detection for S. aureus PICC colonisation relies on the use of traditional culture-dependent methods, including the semi-quantitative roll-plate culture method. However, the minimum time to detection is between 24–48 hours. Furthermore, a definitive diagnosis may take up to 7 days and is therefore not useful in guiding appropriate and timely patient management. A quantitative real-time polymerase chain reaction (qPCR) assay has the potential to overcome these limitations. Methods A qPCR assay, targeting the nuclease (nuc) gene, was developed to detect S. aureus PICC colonisation. The sensitivity threshold of the assay was determined using purified S. aureus genomic DNA (gDNA) and validated using 41 clinical PICC samples which were compared to results from the roll-plate culture method. Results The sensitivity threshold of the qPCR assay was 102 CFU/mL-1. From a total of 41 clinical PICC samples, S. aureus colonisation was detected from one PICC by both qPCR (103 CFU/mL-1) and the roll-plate culture method (103 CFU/mL-1). The qPCR assay processing time was less than 2 hours after bacterial gDNA isolation compared with 24–48 hours for the roll-plate culture method. Conclusion This developed qPCR assay is an accurate and rapid method to detect S. aureus PICC colonisation. With further research, this method has the potential to be used in a clinical setting.
{"title":"The development of a real-time quantitative polymerase chain reaction (qPCR) method for the detection of Staphylococcus aureus in peripherally inserted central catheter (PICC) colonisation","authors":"M. Higgins, J. Brownlie, Li Zhang, R. Ford","doi":"10.33235/va.5.2.23-28","DOIUrl":"https://doi.org/10.33235/va.5.2.23-28","url":null,"abstract":"Background Peripherally inserted central catheters (PICCs) are susceptible to Staphylococcus aureus (S. aureus) colonisation and subsequent dissemination into the bloodstream, leading to central line-associated bloodstream infections (CLABSI). Current detection for S. aureus PICC colonisation relies on the use of traditional culture-dependent methods, including the semi-quantitative roll-plate culture method. However, the minimum time to detection is between 24–48 hours. Furthermore, a definitive diagnosis may take up to 7 days and is therefore not useful in guiding appropriate and timely patient management. A quantitative real-time polymerase chain reaction (qPCR) assay has the potential to overcome these limitations.\u0000Methods A qPCR assay, targeting the nuclease (nuc) gene, was developed to detect S. aureus PICC colonisation. The sensitivity threshold of the assay was determined using purified S. aureus genomic DNA (gDNA) and validated using 41 clinical PICC samples which were compared to results from the roll-plate culture method.\u0000Results The sensitivity threshold of the qPCR assay was 102 CFU/mL-1. From a total of 41 clinical PICC samples, S. aureus colonisation was detected from one PICC by both qPCR (103 CFU/mL-1) and the roll-plate culture method (103 CFU/mL-1). The qPCR assay processing time was less than 2 hours after bacterial gDNA isolation compared with 24–48 hours for the roll-plate culture method.\u0000Conclusion This developed qPCR assay is an accurate and rapid method to detect S. aureus PICC colonisation. With further research, this method has the potential to be used in a clinical setting.","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73799873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Winterbourn, Chris Walker, M. Einstein, G. Anderson, F. Boyd
{"title":"Retraining of home parenteral nutrition (HPN) users in Australia and New Zealand: a consumer audit","authors":"K. Winterbourn, Chris Walker, M. Einstein, G. Anderson, F. Boyd","doi":"10.33235/va.5.2.29-37","DOIUrl":"https://doi.org/10.33235/va.5.2.29-37","url":null,"abstract":"","PeriodicalId":37355,"journal":{"name":"Vascular Access","volume":"162 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86212351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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