A Weekly Dressing Protocol Reduces the Incidence of Driveline Infection

Puhlman, Mark; Wang, L.; Sullivan, Robert; Evenson, K.; Remick, Joshua; Ott, Gary Y.; Abraham, Jacob

doi:10.1016/j.healun.2015.01.516

Cited by 5 publications

(8 citation statements)

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“…56 84 The majority of programs use daily or three times weekly dressing change protocols. 13 14 55 73 81 85 86 87…”

Section: Prevention Measuresmentioning

confidence: 99%

“…56,84 The majority of programs use daily or three times weekly dressing change protocols. 13,14,55,73,81,[85][86][87] Hozayen et al compared two dressing change protocols. 85 The first protocol consisted of a sterile technique of cleaning the DLES with soap and antimicrobial spray, then covering the area with sterile gauze and securing with tape.…”

Section: Prevention Measuresmentioning

confidence: 99%

“…85 Puhlman and Sullivan observed that a strategy of initial daily dressing changes during hospitalization followed by a weekly outpatient driveline management protocol substantially lowers the rate of DLI. 87 In this retrospective review, dressing changes were performed using a driveline management system (Centurion Medical Products Corp, Williamson, Michigan, United States), consisting of a Biopatch, SorbaView Shield dressing, and Centurion Foley catheter anchor. 87 Lander et al reported a significant decrease in DLI incidence in a group of patients where DLES care included antimicrobial foam dressing unlike in a dry island dressing group.…”

Section: Prevention Measuresmentioning

confidence: 99%

“…87 In this retrospective review, dressing changes were performed using a driveline management system (Centurion Medical Products Corp, Williamson, Michigan, United States), consisting of a Biopatch, SorbaView Shield dressing, and Centurion Foley catheter anchor. 87 Lander et al reported a significant decrease in DLI incidence in a group of patients where DLES care included antimicrobial foam dressing unlike in a dry island dressing group. The foam dressing used in the study group consisted of the antimicrobial agent polyhexamethylene biguanide (PHMB; also known as polihexanide) and highly absorbent foam.…”

Section: Prevention Measuresmentioning

confidence: 99%

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Ventricular Assist Device Driveline Infections: A Systematic Review

Krželj

Petričević

Gašparović

et al. 2021

Thorac Cardiovasc Surg

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Infection is the most common complication in patients undergoing ventricular assist device (VAD) implantation. Driveline exit site (DLES) infection is the most frequent VAD infection and is a significant cause of adverse events in VAD patients, contributing to morbidity, even mortality, and repetitive hospital readmissions. There are many risk factors for driveline infection (DLI) including younger age, smaller constitution of patients, obesity, exposed velour at the DLES, longer duration of device support, lower cardiac index, higher heart failure score, DLES trauma, and comorbidities such as diabetes mellitus, chronic kidney disease, and depression. The incidence of DLI depends also on the device type. Numerous measures to prevent DLI currently exist. Some of them are proven, whereas the others remain controversial. Current recommendations on DLES care and DLI management are predominantly based on expert consensus and clinical experience of the certain centers. However, careful and uniform DLES care including obligatory driveline immobilization, previously prepared sterile dressing change kits, and continuous patient education are probably crucial for prevention of DLI. Diagnosis and treatment of DLI are often challenging because of certain immunological alterations in VAD patients and microbial biofilm formation on the driveline surface areas. Although there are many conservative and surgical methods described in the DLI treatment, the only possible permanent solution for DLI resolution in VAD patients is heart transplantation. This systematic review brings a comprehensive synthesis of recent data on the prevention, diagnostic workup, and conservative and surgical management of DLI in VAD patients.

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“…56 84 The majority of programs use daily or three times weekly dressing change protocols. 13 14 55 73 81 85 86 87…”

Section: Prevention Measuresmentioning

confidence: 99%

Section: Prevention Measuresmentioning

confidence: 99%

Section: Prevention Measuresmentioning

confidence: 99%

Section: Prevention Measuresmentioning

confidence: 99%

See 2 more Smart Citations

Ventricular Assist Device Driveline Infections: A Systematic Review

Krželj

Petričević

Gašparović

et al. 2021

Thorac Cardiovasc Surg

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“…A review of the studies in the international literature reveals that a gold standard method for driveline exit site care has not been yet identified. [10,[13][14][15][16][17][18] Local infections at the driveline exit site can be controlled with wound site care and the importance of such care, and the importance of patient training in this matter has been emphasized in the Cardiology-Cardiovascular Surgery Consensus Report for the use of ventricular assist devices in Turkey. [19] On the other hand, we did not find any study from Turkey on the care protocols, and the effectiveness of the method, material and solution used for care in Turkey.…”

mentioning

confidence: 99%

Wound care of the driveline exit site in patients with a ventricular assist device: A systematic review

Özdemir

Çelik

2018

Turk Gogus Kalp Dama

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Bu çalışmada ventrikül destek cihazı uygulanan hastaların driveline çıkış yeri bakım yöntemleri ile ilgili çalışmalar sistematik olarak belirlendi ve incelendi. Ça lış ma pla nı: 2008-2017 yılları arasında İngilizce ve Türkçe yayımlanan ventrikül destek cihazı uygulanan hastalarda driveline çıkış yeri bakımına ilişkin çalışmalar uluslararası Science Direct, PubMed, Web of Science, Scopus ve ulusal veri tabanlarında tarandı. Toplam 83 makaleden, dahil edilme kriterlerini karşılayan yedi araştırma makalesi çalışma kapsamına alındı. Bul gu lar: Araştırma kapsamına giren çalışmalardan driveline çıkış yerinin temizliğinde kullanılan ajanlar, pansuman kapama örtüleri, pansuman değiştirme sıklığı ve driveline kablo sabitleyici cihazlara ilişkin bulgular elde edildi. Driveline çıkış yeri bakımında cilt temizliğinde klorheksidin solüsyonunun ve pansuman kapama örtüsü olarak steril gaz spanç ile transparan örtü kullanımının en çok tercih edilen yöntemler olduğu belirlendi. Pansuman değiştirme sıklığı merkezlere göre oldukça farklılık gösteriyordu ve tüm çalışmalarda kablo sabitleyici araçlar kullanılmıştı. So nuç: Ventrikül destek cihazı uygulanan hastalarda driveline çıkış yeri bakımına yönelik altın standart bir yöntem mevcut değildir ve driveline çıkış yeri bakıma ilişkin araştırmalar sınırlı sayıdadır. Driveline çıkış yeri bakımına ilişkin daha güçlü kanıtlar sunacak geniş kapsamlı randomize kontrollü çalışmaların yapılması önerilmektedir. Anah tarsöz cük ler: Bakım; pansuman; driveline çıkış yeri; ventriküler destek cihazı.

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