The midline catheter within the context of home intravenous antibiotic treatment

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  • dc.contributor.author Lafuente-Cabrero, Elizabeth
  • dc.contributor.author Terradas Robledo, Roser
  • dc.contributor.author Civit Cuñado, Anna
  • dc.contributor.author García Sardelli, Diana
  • dc.contributor.author Molina Huerta, Carla
  • dc.contributor.author Lacueva-Pérez, Laia
  • dc.contributor.author Estevez Estevez, Purificacion
  • dc.contributor.author Esquinas López, Cristina
  • dc.contributor.author Tortosa, Avelina
  • dc.date.accessioned 2025-12-03T18:11:41Z
  • dc.date.available 2025-12-03T18:11:41Z
  • dc.date.issued 2024
  • dc.date.updated 2025-12-03T18:11:41Z
  • dc.description.abstract Home intravenous antibiotic treatment (HIAT) consists of the administration of intravenous antibiotic therapy in the home of the patient. Short peripheral intravenous catheters have long been the first option for antimicrobial therapies. However, these devices are known for their short durability. At present, the midline catheter is one of the median duration devices most commonly used and recommended within the context of HIAT. The objective of this study was to evaluate the occurrence of complications related to midline catheters implanted by a vascular access team in patients undergoing HIAT within the context of home hospitalization. This was a prospective observational study, which consecutively included 77 patients. A total of 92 midline catheters were analyzed. The complications observed were device obstruction (8.7%), infiltration (3.3%), dislodgement (2.2%), and thrombosis (1.1%). Bivariate analysis showed that the pH of the drug and ertapenem administration were associated with catheter obstruction. The authors found a low prevalence of midline catheter-associated complications in patients undergoing HIAT. The use of antireflux needleless connectors should be considered to reduce obstructions. In addition, algorithms that include the variable of type of daily life activity should be developed for deciding the most appropriate catheter for home hospitalized patients receiving HIAT.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Lafuente Cabrero E, Terradas Robledo R, Civit Cuñado A, García Sardelli D, Molina Huerta C, Lacueva Perez L, Estevez Estevez P, Esquinas C, Tortosa A. The midline catheter within the context of home intravenous antibiotic treatment. J Infus Nurs. 2024 Nov-Dec;47(6):369-76. DOI: 10.1097/NAN.0000000000000559
  • dc.identifier.doi http://dx.doi.org/10.1097/NAN.0000000000000559
  • dc.identifier.issn 1533-1458
  • dc.identifier.uri http://hdl.handle.net/10230/72125
  • dc.language.iso eng
  • dc.publisher Lippincott Williams & Wilkins
  • dc.relation.ispartof Journal of Infusion Nursing. 2024;47(6):369-76
  • dc.rights © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Infusion Nurses Society. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
  • dc.subject.keyword Clinical safety
  • dc.subject.keyword Complication
  • dc.subject.keyword Home hospitalization
  • dc.subject.keyword Home intravenous antibiotic treatment
  • dc.subject.keyword Midline catheter
  • dc.subject.keyword Obstruction
  • dc.subject.keyword Peripheral device
  • dc.subject.keyword Ultrasound
  • dc.subject.keyword Vascular infusion access team
  • dc.subject.keyword Venous access
  • dc.title The midline catheter within the context of home intravenous antibiotic treatment
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion