Effect of reusing suction catheters on the occurrence of pneumonia in children

Heart & Lung : the Journal of Critical Care
M K ScobleF Shann

Abstract

The purpose of this study was to determine whether disposable suction catheters can be reused in the same patient for a 24-hour period without affecting the incidence of pneumonia. The study design was a randomized controlled trial. The study was conducted in the pediatric intensive care unit of a tertiary pediatric center. Subjects included 486 children with an endotracheal tube in place. The development of pneumonia, diagnosed with radiographic and clinical evidence, was the measure. Cost analysis was also undertaken. Subjects in the study group (n = 241) were suctioned using the same catheter for a 24-hour period. Those in the control group (n = 245) had a new catheter for each episode of suctioning. Pneumonia developed in 14 members (5.71%) of the control group and in 12 members (4.98%) of the study group, a difference of 0.7% (95% CI, -3.3% to 4.7%). Cost analysis indicated a saving of Aust $4.14 per patient per day. Reusing suction catheters for up to 24 hours is both safe and cost-effective.

Citations

Sep 19, 2009·Early Human Development·Daniele TrevisanutoVincenzo Zanardo
Aug 6, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brenda M Morrow, Andrew C Argent

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