In the United States, almost 200 million peripheral intravenous catheters are used each year. Recommendations for the prevention of vascular catheter-related infection in adults seem to allow the clinician to leave a peripheral catheter in place for more than 72 hours and allow clinicians to use clinical judgment for leaving peripheral intravenous catheters in place until clinical indications for removal are manifested. From an infection prevention standpoint, once the patient shows clinical indications of infection, bacteremia may not be far off. Authority analysts searched the Pennsylvania Patient Safety Reporting System and the National Healthcare Safety Network for evidence related to the prevalence of peripheral intravenous catheter infection-related bacteremia and the related time frame of infection development. Focusing on Staphylococcus aureus primary bloodstream infection (BSI) as a surrogate for the detection of peripheral intravenous catheter-related infection, there was an impressive increase in primary BSIs 72 hours postadmission. Due to the high incidence in which peripheral catheters are used when caring for inpatients, complications like bacteremia may contribute substantially to yearly hospital-acquired infections.
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