Quote from Lynstat1
Could you please tell me what infusion conference this was as I would love to read some presentations. I'm a Paeds nurse in Australia working primarily in Oncolgy and also have many questions surround the use of heparin for locking central lines whole minimsing the risk of infection and maintaining patency specifically in the paed population, and if a safer alternative has been found. I'm aware that there are clinical trials investigating the use of heparin, although I think the results were inconclusive.
It was the Arizona Association of Vascular Access conference in June. I will find my notes for you.
The CDC used to recommend locking with heparin to decrease CLABSIs, the thought was that heparin decreased thrombi which in turn would decrease infection. Turns out the studies did not reflect this so it was dropped from the recommendations.
I actually did my Capstone project for my bachelor’s on heparin locking. There are many, many, many, many studies and meta-analysis done on heparin locking for many years, both here and in the United Kingdom. Turns out that there is no significant statistical correlation between heparin locking and occlusion rates nor with heparin locking and infection rates.
Not surprisingly if one looks to the hand-washing and port-disinfection studies but it appears that it does not matter what you use but rather how you use it. It was not the heparin that prevents occlusions but rather proper flushing technique.
I’ll see if I can dig up some of my research for you too.