A catheter securement device (100) holds a medical article such as a catheter hub or a connector fitting in position upon the body of a patient and at least inhibits longitudinal movement of the medical article. The securement device (100) includes a retainer (120) and at least one anchor pad (110). The retainer (120) has one or more curved ribs (280) into which at least a portion of the medical article is inserted. The retainer (120) includes a spine (145) that extends in a proximal direction from the retainer (120). The spine (145) includes a clip (147) having an abutment surface that can abut against a contact point or surface on the medical article. The abutment, in conjunction with a second abutment and/or a tapering shape of the retainer (120), inhibits longitudinal movement of the medical article in both proximal and distal directions.
