{"id":53816,"date":"2026-10-12T08:04:00","date_gmt":"2026-10-12T07:04:00","guid":{"rendered":"https:\/\/campusvygon.com\/uk\/?p=53816"},"modified":"2026-09-18T14:20:41","modified_gmt":"2026-09-18T13:20:41","slug":"neonatal-picc-and-midline-maintenance-best-practices-for-safe-and-effective-use","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/uk\/neonatology\/neonatal-vascular-access-a-practical-guide-to-piccs-and-midlines\/neonatal-picc-and-midline-maintenance-best-practices-for-safe-and-effective-use\/","title":{"rendered":"Neonatal PICC and Midline Maintenance: Best Practices for Safe and Effective Use"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Part 4 of the series: Neonatal Vascular Access: A Practical Guide to PICCs and Midlines<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Introduction<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The successful insertion of a PICC or Midline is a significant achievement in neonatal vascular access, but long-term success depends on what happens next. Maintenance practices play a critical role in preserving catheter function, reducing complications and supporting the safe delivery of treatment throughout the device&#8217;s dwell time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For neonatal patients, the challenges are unique. Fragile skin, small vessels, patient movement and prolonged therapy requirements create an environment where even minor maintenance issues can quickly escalate into significant clinical problems. Every unplanned catheter removal may result in additional procedures, interruption of therapy and loss of valuable vascular access sites.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Effective maintenance therefore requires a proactive, standardised approach that prioritises vessel preservation, patient safety and early identification of emerging complications.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why Maintenance Matters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PICCs and Midlines are often selected to reduce the burden of repeated peripheral cannulation. However, that benefit can be lost if devices fail prematurely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common causes of unplanned catheter removal include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Occlusion<\/li>\n\n\n\n<li>Catheter migration<\/li>\n\n\n\n<li>Accidental dislodgement<\/li>\n\n\n\n<li>Catheter-related infection<\/li>\n\n\n\n<li>Leakage<\/li>\n\n\n\n<li>Catheter damage<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Many of these complications develop gradually rather than suddenly. Consistent maintenance practices offer clinicians an opportunity to identify issues early and intervene before device failure occurs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Establishing a Maintenance Bundle<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">High-performing vascular access programmes often use standardised maintenance bundles to ensure consistent practice across the multidisciplinary team.<sup>2<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While specific protocols vary between institutions, most maintenance bundles focus on:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Daily assessment of catheter necessity<\/li>\n\n\n\n<li>Site assessment<\/li>\n\n\n\n<li>Dressing integrity<\/li>\n\n\n\n<li>Securement evaluation<\/li>\n\n\n\n<li>Catheter patency<\/li>\n\n\n\n<li>Infection prevention<\/li>\n\n\n\n<li>Documentation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Embedding these components into routine care can help reduce variation and improve outcomes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Daily PICC and Midline Review<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One of the simplest ways to improve maintenance practice is to perform a structured line review each day.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Daily Review Checklist<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Clinicians should ask:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Is this device still clinically required?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Is the dressing clean, dry and intact?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Has the external catheter length changed?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Is the securement intact?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Are there signs of redness, swelling or leakage?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Is the catheter flushing appropriately?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Have there been recent infusion pump alarms?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 Has documentation been completed and updated?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Performing these assessments consistently helps detect developing problems before they affect therapy delivery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Maintaining Dressing Integrity<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dressings provide a barrier against contamination while helping maintain catheter stability. A compromised dressing can increase the risk of both infection and accidental dislodgement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Routine assessment should confirm that dressings remain:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clean<\/li>\n\n\n\n<li>Dry<\/li>\n\n\n\n<li>Secure<\/li>\n\n\n\n<li>Fully adherent to the skin<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Practical Troubleshooting<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If the dressing becomes loose:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Assess catheter position immediately.<\/li>\n\n\n\n<li>Reinforce or replace the dressing according to local policy.<\/li>\n\n\n\n<li>Confirm that the securement system remains intact.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If moisture develops beneath the dressing:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Investigate the cause.<\/li>\n\n\n\n<li>Assess for leakage or skin complications.<\/li>\n\n\n\n<li>Replace the dressing if indicated by local protocol.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If dressing changes become frequent:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Review securement practices.<\/li>\n\n\n\n<li>Evaluate the infant&#8217;s movement patterns.<\/li>\n\n\n\n<li>Assess for skin integrity issues affecting adhesion.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Protecting Fragile Neonatal Skin<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Neonatal skin differs significantly from adult skin. Premature infants are particularly vulnerable to skin injury associated with adhesives, moisture and repetitive dressing removal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During maintenance, clinicians should routinely assess for:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Erythema<\/li>\n\n\n\n<li>Epidermal stripping<\/li>\n\n\n\n<li>Moisture-associated skin damage<\/li>\n\n\n\n<li>Pressure injury<\/li>\n\n\n\n<li>Adhesive-related skin injury<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Practical Considerations<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When removing dressings:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Work slowly and deliberately.<\/li>\n\n\n\n<li>Support the surrounding skin.<\/li>\n\n\n\n<li>Follow local policies regarding adhesive removal products.<\/li>\n\n\n\n<li>Avoid unnecessary dressing disruption.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Protecting skin integrity not only improves comfort but also supports effective catheter securement.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Securement: Preventing Movement Before It Becomes Migration<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Catheter movement can contribute to vessel irritation, tip migration and accidental dislodgement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For neonatal patients, this challenge is amplified by:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Routine handling<\/li>\n\n\n\n<li>Position changes<\/li>\n\n\n\n<li>Growth and weight gain<\/li>\n\n\n\n<li>Movement of limbs and equipment<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What to Assess Daily<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Review:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Securement integrity<\/li>\n\n\n\n<li>External catheter length<\/li>\n\n\n\n<li>Dressing condition<\/li>\n\n\n\n<li>Position of extension sets and tubing^1<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Escalate If:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>External length changes unexpectedly.<\/li>\n\n\n\n<li>The stabilisation device becomes detached.<\/li>\n\n\n\n<li>Repeated migration is observed.<\/li>\n\n\n\n<li>Catheter position is questioned clinically.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Early intervention may prevent a minor shift from becoming a significant complication.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Maintaining Catheter Patency<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A functioning catheter should allow reliable administration of prescribed therapies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Changes in performance often represent the earliest signs of developing dysfunction.<sup>1<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Monitor For:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Resistance during flushing<\/li>\n\n\n\n<li>Sluggish infusion flow<\/li>\n\n\n\n<li>Increased pump alarms<\/li>\n\n\n\n<li>Difficulty aspirating blood where previously possible<\/li>\n\n\n\n<li>Delayed medication administration<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Practical Strategies<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adhere to local flushing protocols.<\/li>\n\n\n\n<li>Promptly flush after medication administration when indicated.<\/li>\n\n\n\n<li>Avoid unnecessary interruptions to continuous therapies.<\/li>\n\n\n\n<li>Investigate changes in performance early rather than waiting for complete occlusion.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Recognising Early Signs of Catheter Dysfunction<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Catheter failure rarely occurs without warning.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The following signs should prompt further assessment:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Mechanical Warning Signs<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Altered external length<\/li>\n\n\n\n<li>Kinking<\/li>\n\n\n\n<li>Leakage<\/li>\n\n\n\n<li>Increased flushing resistance<\/li>\n\n\n\n<li>Repeated pump alarms<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Site-Related Warning Signs<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Redness<\/li>\n\n\n\n<li>Swelling<\/li>\n\n\n\n<li>Drainage<\/li>\n\n\n\n<li>Skin breakdown<\/li>\n\n\n\n<li>Tenderness<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Systemic Concerns<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Temperature instability<\/li>\n\n\n\n<li>Unexpected clinical deterioration<\/li>\n\n\n\n<li>New signs of sepsis<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Recognising these indicators early may prevent unplanned catheter removal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Infection Prevention During Maintenance<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Infection prevention is not an isolated intervention. It should be integrated into every interaction with the vascular access device.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Evidence-based strategies include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consistent hand hygiene<\/li>\n\n\n\n<li>Aseptic non-touch technique<\/li>\n\n\n\n<li>Appropriate hub disinfection<\/li>\n\n\n\n<li>Maintaining dressing integrity<\/li>\n\n\n\n<li>Minimising line manipulation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reducing Unnecessary Access<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whenever possible:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cluster care activities.<\/li>\n\n\n\n<li>Minimise unnecessary line access.<\/li>\n\n\n\n<li>Avoid disconnecting systems unnecessarily.<\/li>\n\n\n\n<li>Ensure all staff follow standardised access procedures.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Reducing manipulation may decrease opportunities for contamination.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Documentation: An Often Overlooked Intervention<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Good documentation supports continuity of care and may facilitate earlier identification of complications.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Records should include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Catheter type<\/li>\n\n\n\n<li>Insertion site<\/li>\n\n\n\n<li>External length<\/li>\n\n\n\n<li>Dressing changes<\/li>\n\n\n\n<li>Securement assessments<\/li>\n\n\n\n<li>Site observations<\/li>\n\n\n\n<li>Patency concerns<\/li>\n\n\n\n<li>Escalation actions<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Accurate documentation also contributes to quality improvement initiatives and service evaluation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical Scenario<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Daily Line Review in Practice<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 28-week infant has had a PICC in situ for 12 days.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During routine review:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dressing remains intact.<\/li>\n\n\n\n<li>No redness is noted.<\/li>\n\n\n\n<li>External length has increased by 0.5 cm.<\/li>\n\n\n\n<li>Infusions continue without resistance.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Although the catheter remains functional, the change in external length should prompt further assessment according to local policy because migration may occur before clinical symptoms develop.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This example highlights the importance of structured daily review rather than relying solely on device performance.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Key Practice Points<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perform a structured line review every day.<\/li>\n\n\n\n<li>Assess necessity as well as function.<\/li>\n\n\n\n<li>Monitor dressing integrity and skin health.<\/li>\n\n\n\n<li>Track external catheter length consistently.<\/li>\n\n\n\n<li>Investigate early signs of dysfunction promptly.<\/li>\n\n\n\n<li>Minimise unnecessary catheter manipulation.<\/li>\n\n\n\n<li>Prioritise documentation and communication.<\/li>\n\n\n\n<li>Remember that successful maintenance supports vessel preservation.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Successful neonatal vascular access extends far beyond insertion. Maintenance is a continuous process that requires vigilance, consistency and a commitment to best practice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Structured assessments, proactive troubleshooting, effective securement and meticulous infection prevention can help reduce unplanned removals and preserve valuable vascular access sites. By embedding these principles into everyday practice, neonatal teams can maximise catheter longevity while supporting safe and effective patient care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the next article in this series, we will examine <strong>Preventing Complications Associated with Neonatal PICCs and Midlines<\/strong>, exploring specific complications, their risk factors, warning signs and practical prevention strategies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Next Article:<\/p>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill-element has-white-color has-text-color has-background has-link-color wp-elements-1\" style=\"background-color:#004431;grid-template-columns:20% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"http:\/\/campusvygon.com\/uk\/wp-content\/uploads\/sites\/9\/2026\/04\/shutterstock_Neonate-VA-1024x683.jpg\" alt=\"\" class=\"wp-image-53817 size-full\" style=\"object-position:50% 50%\" srcset=\"http:\/\/campusvygon.com\/uk\/wp-content\/uploads\/sites\/9\/2026\/04\/shutterstock_Neonate-VA-980x653.jpg 980w, http:\/\/campusvygon.com\/uk\/wp-content\/uploads\/sites\/9\/2026\/04\/shutterstock_Neonate-VA-480x320.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading has-white-color has-text-color has-background\" style=\"background-color:#004431;font-size:22px\"><strong>Preventing Complications Associated with Neonatal PICCs and Midlines<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-fill\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/campusvygon.com\/uk\/neonatology\/neonatal-vascular-access-a-practical-guide-to-piccs-and-midlines\/preventing-complications-associated-with-neonatal-piccs-and-midlines\/\">Learn more<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Supporting Materials<\/strong><\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Sharpe EL, Wyckoff MM, Pettit J, et al. <em>Peripherally Inserted Central Catheters: Guideline for Practice<\/em>. 4th ed. Chicago (IL): National Association of Neonatal Nurses; 2024.<\/li>\n\n\n\n<li>Sharpe EL, Pettit J. NANN neonatal peripherally inserted central catheters: clinical practice update. <em>Adv Neonatal Care<\/em>. 2024;24(4):e95-e107.<\/li>\n\n\n\n<li>Infusion Nurses Society. <em>Infusion Therapy Standards of Practice<\/em>. 9th ed. Norwood (MA): Infusion Nurses Society; 2024.<\/li>\n\n\n\n<li>Chen JW. <em>Neonatal Vascular Access: Pearls, Proficiency and Innovation in Practice<\/em>. Academy of Neonatal Nursing Annual Conference; 2018.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Part 4 of the series: Neonatal Vascular Access: A Practical Guide to PICCs and Midlines Introduction The successful insertion of a PICC or Midline is a significant achievement in neonatal vascular access, but long-term success depends on what happens next. Maintenance practices play a critical role in preserving catheter function, reducing complications and supporting the [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":53817,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[119],"tags":[67,22,120],"class_list":["post-53816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neonatal-vascular-access-a-practical-guide-to-piccs-and-midlines","tag-neonatal-vascular-access","tag-neonatology","tag-npicc"],"acf":[],"_links":{"self":[{"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/posts\/53816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/comments?post=53816"}],"version-history":[{"count":5,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/posts\/53816\/revisions"}],"predecessor-version":[{"id":53863,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/posts\/53816\/revisions\/53863"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/media\/53817"}],"wp:attachment":[{"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/media?parent=53816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/categories?post=53816"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/campusvygon.com\/uk\/wp-json\/wp\/v2\/tags?post=53816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}