Vancomycin Administration Through a Novel Midline Catheter: Summary of a 5-Year, 1086-Patient Experience in an Urban Community Hospital

Caparas, Jona V.; Hung, Hwei-San
March 2017
Journal of the Association for Vascular Access;Mar2017, Vol. 22 Issue 1, p38
Academic Journal
Background The 2016 Infusion Therapy Standards of Practice no longer require that low pH (<5) medications be administered via central venous access devices. Nevertheless, the practice of placing PICCs for vancomycin administration often persists. Purpose To demonstrate the safety and efficacy of intravenous vancomycin administration through a short and long term midline catheter. Methodology A retrospective chart review was performed on 1086 patients who received intravenous vancomycin through a midline catheter. Results There were no catheter-associated bloodstream infections and no deep vein thromboses. Phlebitis occurred rarely (0.6%), as did benign infiltrations (1.2%). There were no extravasation injuries. Conclusions These outcomes summarize more than 5 years of experience administering intravenous vancomycin (4 mg/mL) safely and cost-efficiently through a nontrimmable midline catheter.


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