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Kristin Walker
Sutures vs. Stat Lock
One of our new Interventional Radiologists insists on using sutures to secure his Picc's as opposed to Stat Lock's.  I know that sutures have a higher rate of infection but can't seem to get my hands on any good articles to prove my point.  Anybody have any good references?
lynncrni
Look for published

Look for published information about biofilm as this is what happens on sutures that leads to infection. Another huge problem with sutures is needlestick injury and there is lots published about this. 

Lynn Hadaway, M.Ed., RN, BC, CRNI

www.hadawayassociates.com

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

kokotis
Kathy Kokotis Bard Access

Kathy Kokotis

Bard Access Systems

Do a search on Dr. Gregory Shears.  He has written most of the articles on this topic.

He is a Pediatric anesthesiologist at Mayo who is the Medical Director of the PICC Team

Kathy

 

Kathy Kokotis

Bard Access Systems

kokotis
Kathy Kokotis Bard Access

Kathy Kokotis

Bard Access Systems

Schears is the right spelling for the search

Kathy

Kathy Kokotis

Bard Access Systems

momdogz
Any other suggestions about

Any other suggestions about specific studies or articles linking biofilm-sutures-CLABSI other than Schears and Yamamoto?

Thanks,

Mari

 

 

 

Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

lynncrni
I am now giving a

I am now giving a presentation about CVC stabilization methods. My literature search was about a year ago, but there was nothing additional at that time. In this article:

1.    Cantrell S. The triple threat: Manufactured catheter securement devices protect patient, safeguard healthcare workers, save money. Healthcare Purchasing News. Vol June; 2006.

you will find some quotes from Dr. Dennis Maki about the issue including

Secure the line much better because the device prevents pistoning and jiggling, also contributing to reducing the risk of infection.
Eliminate the risks of sharps injuries
2-3 injuries per month from suturing lines at his hospital.
 

Lynn Hadaway, M.Ed., RN, BC, CRNI

www.hadawayassociates.com

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

momdogz
thanks, Lynn.  Good to have

thanks, Lynn.  Good to have more support from Dr. Maki.

 

Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

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