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Prevention of peripheral intravenous catheter-related bloodstream infections: the need for routine replacement

Claire M Rickard, Joan Webster and E Geoffrey Playford
Med J Aust 2013; 199 (11) || doi: 10.5694/mja13.11352
Published online: 16 December 2013

In reply: It is untrue that new recommendations for clinically indicated peripheral intravenous catheter (PIVC) replacement are based on phlebitis alone.

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  • 1 NHMRC Centre for Research Excellence in Nursing, Griffith Health Institute, Griffith University, Brisbane, QLD.
  • 2 Research and Development Unit, Centre for Clinical Nursing, Royal Brisbane and Women’s Hospital, Brisbane, QLD.
  • 3 Princess Alexandra Hospital, Metro South Health, Brisbane, QLD.
  • 4 School of Medicine, University of Queensland, Brisbane, QLD.


Correspondence: c.rickard@griffith.edu.au

Competing interests:

No relevant disclosures.

  • 1. Webster J, Osborne S, Rickard CM, et al. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database Syst Rev 2010; (3): CD007798.
  • 2. Rickard CM, Webster J, Wallis MC, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. Lancet 2012; 380: 1066-1074.
  • 3. Webster J, Lloyd S, Hopkins T, et al. Developing a Research base for Intravenous Peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients. Int J Nurs Stud 2007; 44: 664-671.
  • 4. Webster J, Clarke S, Paterson D, et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ 2008; 337: a339.
  • 5. Van Donk P, Rickard CM, McGrail MR, et al. Routine replacement versus clinical monitoring of peripheral intravenous catheters in a regional hospital in the home program: a randomized controlled trial. Infect Control Hosp Epidemiol 2009; 30: 915-917.
  • 6. Rickard CM, McCann D, Munnings J, et al. Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial. BMC Med 2010; 8: 53.

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