5% NaHCO3 Is Appropriate for Skin Cleaning With Central Venous Catheters

Underlying Causes and Nursing Care in Infections Associated with Peripheral Venous Catheterization in Children

“…The most commonly used PVC is one of the minor surgical procedures that require practive skills and causes various complications if not done properly. PVC-related catheter complications are sorted as pain, occlusion, cellulitis, sepsis, thrombophlebitis, infiltration / extravasation, air embolism, nerve tendon damage, subcutaneous necrosis, circulatory loading, accidental dislocation or stealing of the catheter, hematoma and CRIs (Hadaway, 2012;Zhang et al, 2016Rai et al, 2019Karagözoğlu 2001;Wu et al, 2017;Aktaş et al, 2011;Rundjan, 2011;Camacho-Ortiz & Roman-Mancha, 2016). The development of complications depends on factors such as age, gender, weight, region selection, material and length of the catheter that will be used, the type and osmolarity of the fluid or drug that will be applied, presence of chronic diseases, dressing material that will be used, the level of knowledge and experience of the person that will install the catheter, and the aseptic technique compliance during administration.…”

“…It was reported in a study that as a consequence of providing skin antisepsis and hand hygiene, the rate of CRI is decreased from11.7% to 1.1% (Rundjan, 2011), and similar studies confirmed that the infection rate decreases with a proper antiseptic solution (O'Grady et al, 2011;Avcı, 2015;Zhang et al, 2016;HIDER, 2019). Antiseptic solutions frequently used for cleaning the PVC entry site in the literature are 70% Alcohol, 2% Chlorhexidine Gluconate 70% Alcohol (CHG), 1% octenidine and 10% povidone iodine (Wu et al, 2017;Karpanen et al, 2016;Dettenkofer et al, 2009;Eser Mete et al, 2009). When antiseptics were analyzed, it was reported that maximum 2% CHG solution was the most effective antiseptic agent (Karpanen et al, 2016).…”