Effectiveness of full-cycle indwelling needle management in neonates and its protective role against post-bath puncture site infections and bleeding

Abstract

Intravenous access is a critical component of clinical care for neonates. Given neonates' underdeveloped vascular systems, fragile skin barrier, and immature immune responses, they experience substantially higher rates of catheter-related complications (including infections and bleeding) compared to adult populations. This research introduces an innovative Full-Cycle Indwelling Needle Management (FCINM), establishing a tripartite framework of "Evaluation-Implementation-Surveillance". By combining advanced dressing techniques and proactive maintenance protocols, this approach significantly enhances first-attempt success rates (92.0% vs. 74.0%, p=0.017) while reducing catheterization time. Post-implementation results showed reductions in complication rates, along with improvements in care adherence. Compared with the standard care group, the observation group showed no significant difference in puncture site infection rates, the observation group demonstrated significantly lower infection rates through antimicrobial-impregnated dressings and proactive maintenance approaches. In conclusion, FCINM enhances the accuracy and safety of neonatal intravenous therapy by integrating technological advancements and procedural refinements.