kiuff

I wanted to ask a simple question. How cases of MRSA septicaemia have there been proven to be due to peripheral iv cannulas? I am not talking about central lines. I think people should look at these so call infection measures closely. The fundamental problem is that wards are over crowded and patients from nursing homes are more than likely to have MRSA before they come to hospital. I do aggree that an IV cannula should be kept in as little as possible. However I do think our so called infection control measures have little if any evidence behind them. You can insert an IV cannula under aseptic conditions but you should also be handling them using the same aseptic techniques. Moreover now the way venflon dressings are being put on also coming under scrutiny. The hospital I work in has now introduced a bare below the elbows policy. No watches on my non-dominant hand because it is an infection risk. Level of evidence? Level D ie it makes sense from a theoretical point of view but not proven by a RCT.