Evaluatie van een IV-veiligheidskatheter (IVK) (BD, INSYTE™ AUTOGUARD™): eindverslag (In het Engels)

Evaluation of a Safety IV Catheter (IVC) (Becton Dickinson, INSYTE™ AUTOGUARD™) : Final Report

Meryl H. Mendelson, Bao Ying Lin-Chen, Lori Finkelstein-Blond, Eileen Bailey, Gene Kogan The Mount Sinai Medical Center, New York, NY

A safety IVC (Becton Dickinson, Insyt™ Autoguard™) was evaluated at a 1,100 bed university affiliated medical center to determine efficacy in reducing needlestick injuries (NIs). NI rate during a baseline period I (non-safety; 6/93-8/96, 39 months) was compared to the study period II(2/99-7/00, 18 months). The study period included a two-month training (2-3/99) and a three-month pilot (4-6/99). ProtectivBD Plus Catheter (Johnson and Johnson) was evaluated during the interim time between Period I and II. NI data was analyzed utilizing the CDC NaSH database. Two sharp disposal surveys were performed to assess usage and activation rates in 6/99 and 7/00; and two product evaluation surveys were conducted in 12/99 and 7/00. A 95% reduction in IV stylet-related NIs was demonstrated comparing the baseline Period I NI rate of 6.6/100,000 IV stylets (56 injuries/848,958 stylets) to the study Period II NI rate of 0.3/100,000 IV stylets (1 injury/331,516 safety IV stylets) (p<0.001). The period II NI occurred while the stylet was being withdrawn from the patient and the healthcare worker (HCW) failed to activate the safety mechanism. When comparing the two sharps disposal surveys, the 2nd survey activation rate was 91% vs. 85% (1st). The 2nd product evaluation showed 98% of HCWs answering the safety IV catheter was very easy/easy to use compared to 78% (1st). 95% (2nd) vs. 76% (1st) felt there was either nochange/a slight change in technique needed to use this safety device. 99% of HCWs during both surveys answered the safety IV catheter provide deffective protection against needlesticks. In conclusion, the InsyteAutoguard resulted in a marked and significant reduction in IV stylet-related injuries during the study period. Although this safety IVC requires activation by the user, the simplicity of the activation process promotes user compliance and therefore, reduction in injuries. In that IV stylet-related injuries are high risk (hollow-bore needle, inserted directly into vein orartery), usage of this safety device should result in decreased blood-borne pathogen transmission to HCWs.

Referentie van de volledige paper:
Mendelson MH et al. Evaluation of a Safety IV Catheter (IVC) (Becton Dickinson, INSYTE™ AUTOGUARD™)Final Report 11th Annual Scientific Meeting, Society for Healthcare Epidemiology of America, 2001 SHEA,Toronto, Canada.