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Does a Dedicated Lumen for Parenteral Nutrition Administration Reduce the Risk of Catheter-Related Bloodstream Infections? A Systematic Literature Review
Journal article   Peer reviewed

Does a Dedicated Lumen for Parenteral Nutrition Administration Reduce the Risk of Catheter-Related Bloodstream Infections? A Systematic Literature Review

N C Gavin, Elise Button, Maria Isabel Castillo, Gillian Ray-Barruel, Samantha Keogh, David J McMillan and Claire M Rickard
Journal of infusion nursing : the official publication of the Infusion Nurses Society, Vol.41(2), pp.122-130
2018
url
https://doi.org/10.1097/NAN.0000000000000270View
Published Version

Abstract

catheter-related bloodstream infection central vascular access device intravenous administration set parenteral nutrition systematic review
Guidelines recommend using single-lumen central vascular access devices (CVADs) for the administration of parenteral nutrition (PN) or lipid-based solutions, or a dedicated lumen on a multilumen CVAD. Publications reviewed by the authors reported comparative rates of catheter-related bloodstream infection (CR-BSI) in patients with CVADs who received PN through a dedicated lumen compared with those who had PN administered through multilumen CVADs. Two studies included 650 patients with 1349 CVADs. CR-BSIs were equally distributed between the 2 groups. Both studies were poorly reported and had significant risk of bias. These results should be interpreted with caution.

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