I wonder if they were panicked by Dr.Maki's report in Chest Journal. 


Michael Drafz <[EMAIL PROTECTED]> wrote:
Refer them to the CDC guidelines, which do not support routine exchange of lines, which should be the standard to ahere for them.

Lynn Hadaway <[EMAIL PROTECTED]> wrote:
Don't understand where your docs are coming from on this one. There
are no recommendations for a routine change of any central line,
including PICCs, from any organization. Lynn

At 9:17 AM -0500 3/16/06, Joanne Moy wrote:
>Good Morning,
>I am currently looking for information on any studies or articles
>available on routine changing of PICC lines to prevent infection on
>long term hospitalized patients.
>At Shands UF, we have a couple of doctors who feel they need to
>change out a patient's PICC every 3-4 weeks because it's a central
>line and it's old. One of them feels there are no studies done on
>these long term ICU patients about it being better left in for a
>long time. They feel it is better to change it as we change any
>central line to prevent infection instead of waiting until they have
>an infection. If the patient is young and has good available veins
>he feels it is better that it is changed out.
>If anyone knows of any articles they know of to support this I would
>appreciate it. I have already pointed out the CDC guidellines.
>Thank you
>Joanne Moy
>Shands UF
>Gainesville, FL
>PICC team


--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861




Michael Drafz RN, OCN, CRNI
Clinical Lead Vascular Access Service
Sharp Memorial Hospital Metropolitan Campus
San Diego, California


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