Dr.
Jarvis, who spoke during the Friday morning general sessions at AVA, stated in
his concluding remarks that he has seen no convincing evidence the positive
displacement connectors actually prevent occlusion.
A
review of the literature indicates that there is, in fact, a serious
lack of published studies that address this issue. All of the current abstracts
and studies re needleless connectors are focusing on infection. Since catheter
occlusion and infection are not separate & distinct issues, there is an
urgent need for those who have reliable databases to extract relevant outcomes
information and share it - pro or con - within the professional community.
This includes those facilities that are currently reporting no problems &
can confirm the reliability of their surveillance systems. And it could
potentially include many subscribers to this list.
If you
have accumulated data relevant to the needlelless connector controversy
(infection, occlusion or both) but are unsure how to develop an abstract, poster
or manuscript, use statistical analysis, etc. you can network with
colleagues who have these skills & experience, ask for assistance from the
publication (many offer resources to support less experienced authors), solicit
assistance from your local college or university, seek support from the
manufacturer of the device you are using - to name just a few
possibilities.
The
more data brought forward, the more information we will all have. And with more
information we can deepen our understanding and develop a valid evidence-based
decision model for device selection and use.
M
Hanchett RN
IgG
America
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Sunday, January 15, 2006 8:33 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: Needless Connectors & CRBSIThank you Tony for keeping us all up to date with the conference!! A question though is burning in my mind. I don't recall, from the disscussion we had on the list this spring/summer, about a brand specific needless connector being responsible for for the increase in CRBSI. So could you please tell us which connector(s) are in question? What is the reason that belies a particular valve design, that makes it prone to causing CRBSI?
Peter Marino RN BSN
----- Original Message -----
From: [EMAIL PROTECTED]
Date: Sunday, January 15, 2006 12:06 am
Subject: AVA conference, DAY 3"The topic was needleless connectors. They discussed the qualities of a needleless device that would contribute to maintaining a safe fluid pathway. The premise is that the association of increased catheter related infections with valves is likely a brand specific problem and not a wholesale problem of the device category as Drs Maki and Jarvis’s data might have led one to believe."
> Tony West, RN, CRNI
> Healix, Inc.
> Email: [EMAIL PROTECTED] or [EMAIL PROTECTED]
> SMS: [EMAIL PROTECTED]
> Cell: 214-674-4848
>
