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Hi Gemma,
As far as I know there’s never been a specific RCT looking at this
interesting question. But I would say based on other literature, change it
weekly.Best regards, Claire
*Professor Claire Rickard RN PhD*
Intravascular Access Device Research Group | NHMRC Centre of Research
Excellence in Nursing Interventions for Hospitalised Patients | Griffith
Health Institute – Centre for Health Practice Innovation
Visiting Scholar: Royal Brisbane & Women’s Hospital | Princess Alexandra
Hospital | The Prince Charles HospitalP.S. Research frequently takes me off campus. Please contact Jenny Chan,
School Secretary 3735 5406 or *j.chan@griffith.edu.au*
with any urgent enquiries.On 28 February 2013 16:13, Michael Wishart wrote:
> Hi Gemma****
>
> ** **
>
> Interesting question. We would not routinely change a needleless access
> device connected to a cannula / lumen every 24 hours, but we would change
> any needless access device that was considered part of a line every 24
> hours (or on completion of TPN) for any lines used to administer TPN (or
> any blood products). Had never really thought about the needleless access
> devices used to connect the line to the cannula / lumen, as had always
> considered those as part of the cannula / catheter, not part of the line
> or giving set. ****
>
> ** **
>
> Food for thought, though. Is the risk of biofilm in the needleless access
> device after infusion of lipids, etc higher than the risk of breaking the
> closed system to replace the valve?****
>
> ** **
>
> Cheers****
>
> Michael****
>
> ** **
>
> *Michael Wishart*****
>
> *CNC Infection Control*****
>
> *Holy Spirit Northside Private Hospital*****
>
> 627 Rode Road, Chermside, Qld 4032 ****
>
> *t:* (07) 3326 3068 | *f:* (07) 3607 2226 ****
>
> *e:** *Michael.Wishart@hsn.org.au****
>
> *w:*www.holyspiritnorthside.org.au****
>
> Please consider the environment before printing this email****
>
> ** **
>
> ** **
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Klintworth, Gemma
> *Sent:* Thursday, 28 February 2013 3:37 PM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Needleless access devices and PN****
>
> ** **
>
> Hi all,****
>
> ****
>
> With regard to administration of parenteral nutrition via a central line,
> I’m wondering how frequently people recommend that the needleless access
> device is changed (if one is used at all in this case). ****
>
> ****
>
> Thanks,****
>
> ****
>
> Gemma****
>
> ****
>
> *Gemma Klintworth*
> CLABSI Project Coordinator****
>
> Infection Prevention and Healthcare Epidemiology
>
> *t* 03 90762250 *e* G.Klintworth@alfred.org.au
>
> *Alfred Health*
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> Melbourne VIC 3004
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