Right Securement, Dressing, and Management

Hill, Steve; Moureau, Nancy

doi:10.1007/978-3-030-03149-7_9

Cited by 11 publications

(10 citation statements)

References 44 publications

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“…This appears to indicate that GRIP-LOK has a superior ability to secure catheters compared with conventional skin sutures. Indeed, some reports have noted that such adhesive securement devices—which tightly adhere to the skin without the use of sutures—can more effectively minimize catheter movement due to their high stability 12 . Since even slight disturbances of a catheter at the exit site, due to inadequate securement, can increase the catheter infection risk 13 , we surmise that the GRIP-LOK device prevents CRBSI from occurring by keeping such movements to a minimum.…”

Section: Discussionmentioning

confidence: 99%

Effect of sutureless securement on hemodialysis catheter-related bloodstream infection

Fujimoto

Iida

Kumano

et al. 2021

Sci Rep

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The use of sutureless securement devices during catheterization might reduce the risk of catheter-related bloodstream infection (CRBSI) by suppressing catheter-exit infection and catheter dislodgement. However, the effectiveness of these devices in reducing CRBSI risk when securing hemodialysis catheters has not been explored. This single-center retrospective observational study examined 211 non-tunneled hemodialysis catheters (NTHCs) from 110 hemodialysis inpatients, of which 121 were secured using conventional skin sutures (Suture group) and 90 with GRIP-LOK (GRIP-LOK group). The stabilized inverse probability of treatment (SIPT)-weighting method was used to generate a new population (SIPT-weighted model) without group differences for each of the 12 predictors of CRBSI development (i.e., age, sex, dialysis history, concomitant acute kidney injury or diabetes, concurrent use of immunosuppressant drugs or aspirin, NTHC insertion site, methicillin-resistant Staphylococcus aureus, carriage, bacteremia event within 3 months before catheterization, hemoglobin level, and serum albumin titer). The effect of GRIP-LOK compared with sutures on CRBSI in the SIPT-weighted model was evaluated using univariate SIPT-weighted Cox proportional regression analysis, which showed a significant CRBSI suppression effect of GRIP-LOK compared with sutures (hazard ratio: 0.17 [95% CI 0.04–0.78], p = 0.023).　GRIP-LOK affords a lower risk of CRBSI due to indwelling NTHCs than conventional securement using sutures.

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Section: Discussionmentioning

confidence: 99%

Effect of sutureless securement on hemodialysis catheter-related bloodstream infection

Fujimoto

Iida

Kumano

et al. 2021

Sci Rep

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“…9,10 Wilkinson et al 11 were the first to describe the use of glue on venous catheters as an alternative method of securement. More recently, other reasons for using glue on the exit site of venous catheters have been identified 12–16 : its hemostatic role, particularly important when some risk of local bleeding is anticipated, 6 and its antibacterial role, since sealing the exit site provides a mechanical obstacle to bacterial invasion. 17…”

Section: Discussionmentioning

confidence: 99%

Reduction of bacterial colonization at the exit site of peripherally inserted central catheters: A comparison between chlorhexidine-releasing sponge dressings and cyano-acrylate

et al. 2020

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Introduction: A serious complication associated with Central Venous Access Device (CVAD) is infection because of bacterial contamination, either by the extra-luminal or by the intra-luminal route. We evaluated the efficacy, the safety, and the cost-effectiveness of two strategies for non-inferiority in controlling bacterial colonization of the exit-site of Peripherally-Inserted Central Catheters (PICC). Methods: After PICC placement, a skin swab of the exit site was taken and cultured. In group A the exit site was sealed with N-butyl-cyanoacrylate glue, while in group B a chlorhexidine-releasing sponge dressing was applied. A second skin culture was taken at day 7. Results: A total of 51 patients were enrolled in each group. In 42 patients the second skin culture was not performed because of 20 patients were lost at follow-up or deceased and in 22 patients the dressing needed to be changed early, because of local bleeding (13 cases, in group B) or because of dressing detachment (four in group A and five in group B). The microbiological study was completed in 36 patients in group A and 24 in group B. No microorganisms were isolated in any patient. Conclusions: Both strategies were effective in controlling bacterial colonization. Glue was effective in reducing local bleeding, and it was more cost-effective than sponge dressing. During the first week, when local bleeding and bacterial colonization must be prevented, glue might be more appropriate than chlorhexidine-releasing dressing; after the first week chlorhexidine-releasing dressing might be preferable, considering that the safety of glue application on the skin for prolonged periods is still questionable.

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“…12,13 On a microscale, pistoning is the mechanical motion of the catheter in and out of the skin, which can lead to irritation of the intima of the vessel and over time potentially contribute to thrombotic changes. 14 This pistoning action can allow the migration of organisms along the catheter and into the bloodstream and is believed to lead to the development of phlebitis, the most common complication associated with catheter use. 12,13,15 An effective securement technique should be able to prevent both macro-and micro-movements of the catheter components, as well as provide a barrier to reduce the risk of complications.…”

Section: Securement Strength Of Cscasmentioning

confidence: 99%

“…Patient movement and frequent dressing changes can cause large-scale movement of the catheter, sometimes resulting in dislodgement and requiring a new catheter to be inserted 12,13. On a micro-scale, pistoning is the mechanical motion of the catheter in and out of the skin, which can lead to irritation of the intima of the vessel and over time potentially contribute to thrombotic changes 14. This pistoning action can allow the migration of organisms along the catheter and into the bloodstream and is believed to lead to the development of phlebitis, the most common complication associated with catheter use 12,13,15.…”

Section: Introductionmentioning

confidence: 99%

A Revolutionary, Proven Solution to Vascular Access Concerns: A Review of the Advantageous Properties and Benefits of Catheter Securement Cyanoacrylate Adhesives

Zhang

Lingle

Phelps

2022

Journal of Infusion Nursing

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Intravascular catheters are widely used among hospitals; however, their failure rates are high, up to 50%, when secured by traditional techniques, such as tape and gauze. The use of catheter securement cyanoacrylate adhesives provides a unique approach to the issues surrounding the use of traditional securement techniques for vascular access devices by providing significant securement strength, barrier properties, antibacterial properties, hemostatic properties, and flexibility. The purpose of this research was to perform a thorough and systematic review of the current literature existing regarding the use of cyanoacrylate adhesive for the care and maintenance of vascular access devices.

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Right Securement, Dressing, and Management

Cited by 11 publications

References 44 publications

Effect of sutureless securement on hemodialysis catheter-related bloodstream infection

Effect of sutureless securement on hemodialysis catheter-related bloodstream infection

Reduction of bacterial colonization at the exit site of peripherally inserted central catheters: A comparison between chlorhexidine-releasing sponge dressings and cyano-acrylate

A Revolutionary, Proven Solution to Vascular Access Concerns: A Review of the Advantageous Properties and Benefits of Catheter Securement Cyanoacrylate Adhesives

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