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Comparing contamination rates of sterile-covered and uncovered transducers for ultrasound-guided peripheral intravenous lines.
Estrella, Yonathan; Panzlau, Nathan; Vinokur, Kevin; Ayala, Samuel; Lin, Maya; Gaeta, Theodore; Melniker, Lawrence; Chiricolo, Gerardo; Gulec, Nazey.
Afiliación
  • Estrella Y; Department of Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA. yonathan1013@gmail.com.
  • Panzlau N; Department of Emergency Medicine, RWJBarnabas Health Community Medical Center, Tom's River, NJ, USA. yonathan1013@gmail.com.
  • Vinokur K; Emergency Care Specialists, Corewell Health, Michigan State University, East Lansing, MI, USA.
  • Ayala S; Department of Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
  • Lin M; Department of Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
  • Gaeta T; Department of Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
  • Melniker L; Department of Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
  • Chiricolo G; Department of Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
  • Gulec N; Department of Emergency Medicine, RWJBarnabas Health Community Medical Center, Tom's River, NJ, USA.
Ultrasound J ; 16(1): 6, 2024 Feb 07.
Article en En | MEDLINE | ID: mdl-38324092
ABSTRACT

INTRODUCTION:

Physicians frequently use point-of-care ultrasound for intravenous access and bloodwork in the ED. Recently, AIUM and ACEP released recommendations on ultrasound-guided peripheral intravenous lines (USPIVs), but there are no agreed upon standardized policies. We sought to determine whether the use of sterile-covered transducers (SCT) decreases the rate of contamination when compared to uncovered transducers (UCT) after standard low-level disinfection (LLD).

METHODS:

This is a randomized control trial comparing contamination rates of US transducers between SCT and UCT after their use for USPIV by the vascular access team, also known as the "PICC" team, over a 3-month period. A sample of admitted patient with an USPIV order were included and randomized to SCT (experimental) or UCT (control) arms. Transducers were swabbed and inserted into the SystemSURE Plus Adenosine Triphosphate (ATP) Luminometer to calculate Relative Light Units (RLU). We performed a cost analysis of requiring sterile covers for USPIVs.

RESULTS:

The UCT and SCT arms contained 35 and 38 patients, respectively. The SCT group had a mean of 0.34 compared to the UCT group mean of 2.29. Each sterile cover costs $8.49, and over 3000 USPIVs are placed annually by the "PICC" team.

CONCLUSION:

Contamination rates were similar among the UCT and SCT groups after LLD. 254 inpatient USPIVs are performed monthly, not including failed attempts or covers used in the ED where USPIV placement is an essential part of ED workflow. This study suggests that the use of SCT does not significantly affect transducer contamination rates. These findings question burdensome regulatory hospital policies that are not evidence-based.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Ultrasound J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Ultrasound J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Italia