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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
09:38

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Published on: January 24, 2012

Care for peripheral intravenous catheter: an audit in two French university hospitals

Sophie Gardes1, Alexandra Pandini1, Karim Tazarourte2

  • 1Infection Control Unit, Groupement Hospitalier Sud (GHS), Hospices Civils de Lyon (HCL), Lyon, France.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|September 15, 2025
PubMed

Insights

Adherence to French guidelines for peripheral intravenous catheter (PIVC) care is inconsistent. Key safety measures, like hand hygiene and glove use, show significant gaps, necessitating further investigation into adherence barriers.

Area of Science:

  • Infection Prevention and Control
  • Patient Safety
  • Clinical Nursing Practices

Background:

  • Peripheral intravenous catheters (PIVCs) are crucial for patient care but pose risks of complications, including infections.
  • Adherence to established guidelines is essential for minimizing PIVC-associated risks.
  • French national guidelines provide recommendations for PIVC insertion, maintenance, and removal.

Purpose of the Study:

  • To evaluate healthcare workers' adherence to French guidelines for PIVC care.
  • To identify specific areas of non-compliance in PIVC management.
  • To assess the prevalence of PIVC-related complications.

Main Methods:

  • An observational audit was conducted in two university hospitals across seven wards.
  • A digital tool captured real-time compliance data based on French Society of Hospital Hygiene recommendations.
  • Data were collected during two periods in 2021, focusing on PIVC insertions, maintenance, and removals.

Main Results:

  • Healthcare worker compliance with patient identity verification was low (50%).
  • Hand hygiene compliance varied significantly, dropping to 13% before catheter removal.
  • Glove use during insertion was observed in only 47% of cases, and catheter occlusion was a common removal reason (14.3%).

Conclusions:

  • Adherence to national PIVC care recommendations is inconsistent.
  • Certain practices are well-integrated, while others require improvement.
  • Barriers to evidence-based guideline adherence need to be investigated to enhance patient safety.

Keywords:
AuditCatheterizationInfection controlNursesPeripheral intravenous catheterPractice patternsPracticesPreventionQualitySafety

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