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Journal de Pharmacie Clinique

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Are safety catheters adapted to paediatrics? Choice criterion and follow‐up after 6 months Volume 23, issue 2, avril-mai-juin 2004

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Authors
Pharmacie à usage intérieur, Hôpital Robert Debré, AP‐HP Paris Département d’anesthésie‐réanimation, Hôpital Robert Debré, AP‐HP Paris

According to circular DGS\DH\98\289 of April 20, 1998 about the prevention of infections agents transmission by blood, it was decided to make safety peripheral IV catheter available to Robert Debré hospital staff. Two safety peripheral IV catheter are currently available in AP‐HP: Autogard ® catheter (Becton Dickinson) and Protective ® catheter (Johnson and Johnson). Clinical trials were performed in 5 paediatric and 2 adults departments (gynaecology and maternity) after staff training. There were no significant differences between the 2 catheters (p ∓ 0,667). The Drugs and Sterile Medical Devices Local Committee chose the Protective catheter because Autogard catheter was not adapted to the reduced angle puncture. Clinical wards faced a certain number of difficulties related to the catheter: connection catheter with a syringe of saline solution to make easier the puncture is not possible and the puncture with catheter in polyurethane is difficult, occasionally impossible for the youngest children. After six month a experience, this medical device is used overall in 40% of the patient, mainly in adults clinical wards and in Paediatric Emergencies. Our experience point out that these medical devices were developed for adult and not for paediatrics, a specially for children who definitely need dedicated catheter.