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How Long Is Too Long? The Prespiked Intravenous Debate

Jennifer L Stedman1, Joel M Yarmush, Minal C Joshi

  • 1From the Department of Anesthesiology, New York Methodist Hospital, Brooklyn, New York.

Anesthesia and Analgesia
|April 22, 2017
PubMed

Insights

Prespiking intravenous (IV) fluid bags within 4 hours poses no infection risk. This study found no bacterial growth in IV bags prepared in perioperative settings, ensuring patient safety.

Area of Science:

  • Medical Microbiology
  • Perioperative Care
  • Infection Control

Background:

  • Increasing operative cases necessitate efficiency and patient safety improvements.
  • The safety of prespiking intravenous (IV) fluid bags requires investigation regarding infection risk.
  • No prior studies assessed infection risk related to the duration of IV bag spiking.

Purpose of the Study:

  • To determine if spiking intravenous fluid bags within 4 hours increases infection risk.
  • To evaluate the safety of prespiking IV bags in a perioperative environment.

Main Methods:

  • Five IV administration sets were spiked weekly for 5 weeks in perioperative areas.
  • Samples were collected from spiked IV sets and inoculated into growth media.
  • Microbial growth was assessed to identify positive samples.

Main Results:

  • A total of 125 samples (250 specimens) were collected over 5 weeks.
  • No bacterial growth was detected in any of the collected specimens.
  • The 95% confidence interval for contamination was estimated between 0% and 6.3%.

Conclusions:

  • Prespiking normal saline IV bags within 4 hours is safe in perioperative settings.
  • No increased risk of infection was identified for prespiked IV bags.
  • This practice can be implemented to improve efficiency without compromising patient safety.
Abstract

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