Our Method of Povidone-Iodine Ointment and Gauze Dressings Reduced Catheter-Related Infection in Serious Cases

Abstract

In experiment 1, we evaluated our method of catheter care at subclavian vein insertion sites for the control of catheter-related infections in seriously ill neurosurgical patients who needed prolonged catheter placement, compared with an older method. In our method, the insertion site was prepared with 10% povidone-iodine solution, followed by application of 10% povidone-iodine ointment, and covered with sterile gauze and a transparent polyurethane dressing. The older method was based on 1996 guidelines for the prevention of intravascular device-related infections. Catheter colonization and mortality were both found to be significantly reduced with our method (p = 0.0214, p = 0.0379, respectively). In experiment 2, we evaluated whether a regimen of catheter care with 10% povidone-iodine ointment was more effective than that without povidone-iodine ointment for the prevention of infections. This suggested effectiveness of 10% povidone-iodine ointment for reduction of infection. Our method of catheter care was useful even in seriously ill neurosurgical patients.

Wound Healing Dressings and Drug Delivery Systems: A Review

“…Antimicrobial agents such as silver, povidone‐iodine64 and polyhexamethylene biguanide65 are sometimes incorporated into dressings to control or prevent infection. Physiological saline solution is used for wound cleansing to remove dead tissue and also washing away dissolved polymer dressings remaining in a wound 66–68. Saline solution is also used to irrigate dry wounds during dressing change to aid removal with little or no pain.…”

The effect of daily change of sterile urinary bag on bacteriuria and catheter–associated urinary tract infections

“…Accordingly, a study by Koskeroglu et al (11) showed that applying disinfectant agents on urinary meatus was ineffective in decreasing bacteriuria rate. Also, Fukunaga et al (17), in their study, showed that applying iodine povidone on the dressing site of subclavian venous catheter caused a decrease in infection in the catheter site.…”

Controle de infecção relacionada a cateter venoso central: revisão integrativa

“…Dentre os principais fatores de risco para aquisição da infecção relacionada ao cateter, tem-se a sua constituição, incluindo o número de lumens, o local e a técnica de inserção e o tipo de curativo. Outros fatores envolvidos são: tempo de permanência do cateter, manipulação freqüente do sistema, a exemplo da verificação da pressão venosa central ou administração de medicamentos, doença de base, estado clínico do paciente e experiência dos profissionais, dentre outros (PEARSON, 1996;CDC, 2002;MORALES et al, 2004;BACUZZI, et al, 2006;FUKUNAGA et al, 2006;TRICK et al, 2006).…”