Central venous catheter dressings: a systematic review

Gillies, Donna; O'Riordan, Elizabeth; Carr, Debbie; O'Brien, Ida; Frost, Judy; Gunning, Robbie

doi:10.1046/j.0309-2402.2003.02852.x

Cited by 50 publications

(36 citation statements)

References 21 publications

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“…Also it showed that there is highly significant improvement in physician practice in surgical ICU after intervention regarding use of sterile gown and fulfilling precaution by all personnel. These finding were similar to that reported by Taylor et al (30) but against to thast reported by Sean et al (3) . They found that 92% of healthcare providers used hat, mask, and sterile gown and 100% of them used sterile gloves.…”

Section: An Interventional Study To Decrease Central ………supporting

confidence: 82%

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

Nemr

Fahmy

Razek

et al. 2013

Zagazig University Medical Journal

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Background: Catheter related blood stream infection (CRBSI) is a complication of central venous catheter (CVC) use. This Infection particularly in the ICU population results in higher levels of morbidity and mortality coupled with greater costs in terms of care and increased duration of hospital stay. Aim & Objectives: The aim of this study is to improve the safety of patients with CVC via decreasing the incidence of CRBSI in ICUs patients at Zagazig University Hospital through the following objectives: 1-Calculation the incidences of CRBSI in ICUs patients over six months before and after intervention through active surveillance. 2-Assessment the level of the knowledge and adherence of health care providers in ICUs to evidence based guidelines recommended by CDC to decrease the incidences of CRBSI in ICUs patients before and after intervention. 3-Implementation of health education program on ICUs health care providers i.e. providing them by information about evidence based guidelines recommended by CDC to decrease the incidence of CRBSI in ICUs patients.

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Section: An Interventional Study To Decrease Central ………supporting

confidence: 82%

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

Nemr

Fahmy

Razek

et al. 2013

Zagazig University Medical Journal

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“…There were no evidences in differences between the incidences of infections between the two types of dressings. Authors conclude that there is uncertainty regarding the infection risk in transparent film dressings, suggesting studies with a greater number of patients in the sample to identify the most adequate dressing for central venous catheter (19) . A randomized controlled clinical trial on the application of topical mupirocin 2% in the site where catheter was inserted, in 136 patients, as a prophylaxis for S. aureus in patients with CVC for hemodialysis, the authors concluded that there was significant reduction in S. aureus skin infection and in bacteremia in patients using mupirocin prophylaxis compared to the control group (gauze and micropore dressing) (13) .…”

Section: Discussionmentioning

confidence: 99%

Avaliação do tipo de curativo utilizado em cateter venoso central para hemodiálise

et al. 2009

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Objectives:To evaluate the efficacy of two types of dressings used on central venous catheter (CVC) in patients undergoing hemodialysis and to determine the rate of local and systemic bacterial infection when using gauze and micropore dressings or transparent film dressings. Methods: This study was a controlled randomized clinical trial with 66 subjects who were equally assigned to two groups (33 subjects per group). Group 1 used gauze and micropore dressings and group 2 used transparent film dressings. Measures consisted of a socio demographic questionnaire, clinical data, and catheter tip and blood culture tests. Subjects remained in the study until removal of the catheter. Results: There were no statistically significant differences regarding the types of dressings. Positioning of CVCs at 90 degrees in relation to the skin had higher rate of infections by S. Aureus. Conclusion: Although the use of transparent film dressings did not reduce infection, qualitative data analysis suggested that this type of dressing was preferred by the patients and by the health care providers from a university hospital. Keywords: Central venous catheter; Bandage; Infection; Hemodialysis; S. aureus RESUMO Objetivos: Avaliar a efetividade de dois tipos de curativos utilizados em cateter venoso central (CVC) em pacientes submetidos à hemodiálise; identificar a taxa de infecção no local de saída e de bacteremia comparando o curativo com gaze e micropore em relação ao filme transparente. Métodos: Foi realizado um ensaio clínico randomizado controlado abrangendo 66 pacientes, sendo 33 nos grupos 1 e 2, respectivamente. No Grupo 1 o curativo utilizado foi gaze e micropore e no Grupo 2 filme transparente. Foram coletados os dados sócio demográficos, clínicos e os relacionados às infecções. Os 66 pacientes permaneceram no estudo até a indicação de retirada do cateter que ocorreu nos episódios de infecção quando foram realizadas culturas de óstio e da ponta do CVC e hemocultura quando indicado. Resultados: Não houve diferença estatística significante quanto ao tipo de curativo e as variáveis estudadas. Os CVC posicionados a 90º em relação a pele apresentaram maior taxa de infecção por S. aureus. Conclusão: O uso do filme transparente não proporcionou redução de infecção, porém a análise qualitativa deste tipo de curativo teve melhor aceitação pelos pacientes e profissionais da Unidade de Diálise de um Hospital Universitário. Descritores: Cateter venoso central; Curativo; Infecção; Hemodiálise; S.aureus RESUMEN Objetivos: Evaluar la efectividad de dos tipos de curativos utilizados en cateter venoso central (CVC) en pacientes submetidos al hemodiálisis; identificar el índice de infección en el local de salida y de bacteremia comparando el curativo con gaza y micropore el con al filme transparente. Métodos: Fue realizado un ensayo clínico randomizado controlado. En el Grupo 1 el curativo utilizado fue gaza y micropore y en el Grupo 2 filme transparente. Fueron colectados los datos sócio demográficos, clínicos y los relacionados a la...

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“…Em revisão sistemática utilizando as bases de dados Cochrane, MEDLINE, Embase e Cancerlit, identificaram-se seis ensaios controlados de comparação entre os efeitos de gaze e fita adesiva e/ou curativo transparente de poliuretano em CVC. Não foi encontrada diferença na incidência de infecção em relação ao uso de qualquer dos tipos de cobertura 35 .…”

Section: Curativosunclassified

Risk factors and preventive measures for catheter-related bloodstream infections

Rosado¹,

Romanelli²,

Camargos³

2011

J Pediatr (Rio J)

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Objective: To review the risk factors of central venous catheter-related bloodstream infection and the recommendations for its prevention.Sources: PubMed, Cochrane Collaboration and Bireme were reviewed using the following inclusion criteria: studies published between 2000 and 2010, study design, hospitalized pediatric population with central venous catheters and studies about central venous catheter-related bloodstream infection. In addition, reference documents were retrieved from the Centers for Disease Control and Prevention and the Brazilian Health Surveillance Agency. Summary of the findings: Conclusion:The control of risk factors may lead to a reduction of 40% or greater in the incidence of catheter-related bloodstream infection. Insertion surveillance and special attention to central venous catheter in pediatric populations should guide the standardization of healthcare routines to achieve standards for comparisons within and between institutions.J Pediatr (Rio J). 2011;87(6):469-77: Infection, central venous catheter, surveillance. ResumoObjetivo: Rever os fatores de risco para infecção associada a cateteres venosos centrais e as recomendações para a sua prevenção. Entre as medidas preventivas, a literatura recomenda a implementação de protocolos e diretrizes multidisciplinares de cuidados na inserção e manutenção dos cateteres centrais, cuidados com a técnica de inserção dos cateteres venosos centrais, utilização de curativos impregnados com clorexidina, retirada precoce do cateter e adoção de programas de educação continuada para a equipe assistencial. Fontes dos dados: Conclusão:O controle dos fatores de risco pode levar a uma redução igual ou superior a 40% na incidência dessas infecções. A vigilância do processo de inserção e cuidados com os cateteres vasculares centrais na população pediátrica orienta a padronização de rotinas dos serviços de saúde para a obtenção de taxas de referência para comparação intra e interinstitucionais.J Pediatr (Rio J). 2011;87(6):469-77 469470 Jornal de Pediatria -Vol. 87, N° 6, 2011 Infecções associadas a cateteres venosos centrais -Rosado V et al.

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Central venous catheter dressings: a systematic review

Cited by 50 publications

References 21 publications

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

Avaliação do tipo de curativo utilizado em cateter venoso central para hemodiálise

Risk factors and preventive measures for catheter-related bloodstream infections

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