The use of intravenous cannula is an integral part of patient care in hospitals. These devices areused for the administration of fluid, nutrients, medications, blood products and to monitor thehaemodynamic status of a patient.Peripheral venous cannulae and catheter introducing device are the devices most frequently usedfor vascular access. Insertion of cannula and catheter into a blood vessel in patients and veterinary medicine is probably the most common invasive medical procedure performed. In modern medicalpractice, up to 80 percent of hospitalised patients receive intravenous therapy at some point duringtheir stay. There is a growing awareness in the medical community that the cannulation techniqueneeds to be reviewed.However, intravenous devices provide apotential route for micro-organisms to enter the bloodstream resulting in a variety of local or systemic infections.Our hypothesis “ Multiple punctures tointroduce cannula is a major cause of spreading hospital infections” was proved by doctors in Winchester, UK
No new cases of MRSA have been reported at the Royal Hampshire County Hospital in Winchester and the Andover War Memorial Hospital since the use of cannulae has hadto be authorised by a specialist and signed off by a doctor to ensure that they are used only whenabsolutely necessary. Once in place, the tubes are flushed with a saline solution and inspecteddaily. No MRSA bloodstream & wound infections since November 2007 when compared to 11MRSA during the same period before last year.If this same practice were adopted nationwide by the NHS, MRSA levels would fall sharply but isnot practically possible and could be ethically un acceptable.These cannularelated infections were often said to be associated with prolonged hospitalisation,increased morbidity and mortality. In order to minimise the risk of infection associated with thesedevices CDC produced the guidelines on “Prevention of infections related to peripheral intravenousdevices” to all healthcare practitioners involved in the care of adult patients. These guidelines aimsto serve as a guide for practitioners who are involved in caring for or treating adult patients withperipheral intravenous devices. The recommendations are based on the available research findings.However, there are some aspects in which there is insufficient published research and, therefore,consensus of experts in the field has been utilised to provide guidelines specific to conventionalpractice.