Weekly Transparent Dressing Changes Linked to Increased Bacteremia Rates

Curchoe, Ruth; Powers, J. P.; El-Daher, Nayef

doi:10.1086/502002

Cited by 11 publications

(8 citation statements)

References 2 publications

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“…Colonization at the insertion site of 6.5-56.5 results in a relative risk (RR) for CR-BSI [26]. This observation suggests that bandages applied at this site can have considerable influence on the incidence of these infections [29][30][31]. In most infirmaries and units of the HC-UFU non-use of frequent occlusive bandaging prevails in this invasive procedure.…”

Section: Discussionmentioning

confidence: 99%

Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: microbiology and risk factors

Sadoyma¹,

Filho²,

Filho³

2006

Braz J Infect Dis

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Although central vascular catheters (CVC) are indispensable in modern medicine, they are an important risk factor for primary bacteremias. We examined the incidence and risk factors associated with catheter-related bloodstream infection (CR-BSI) caused by Staphylococcus aureus in surgical patients. A prospective study was carried out in the Hospital das Clínicas da Universidade Federal de Uberlândia (HC-UFU) from September 2000 to December 2002. The skin insertion site, catheter tip, and blood were microbiologically analyzed. Demographics and risk factors were recorded for each patient, and cultures were identified phenotypically. Staphylococcus aureus was the most frequent pathogen, with an incidence rate of 4.9 episodes of CR-BSIs per 1,000 catheter/days. Based on logistic regression, the independent risk factors were: colonization on the insertion site =200 colony forming units (CFU)/20 cm 2 (p=0.03; odds ratio (OR) =6.89) and catheter tip (p=0.01; OR=7.95). The CR-BSI rate was high; it was mainly associated with S. aureus, and skin colonization at the insertion site and on the catheter tip were important risk factors for CR-BSI.

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Section: Discussionmentioning

confidence: 99%

Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: microbiology and risk factors

Sadoyma¹,

Filho²,

Filho³

2006

Braz J Infect Dis

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“…3 " 5 A related article discusses catheter-associated BSI in hospital inpatients. 6 Hemodialysis patients require a vascular access site to withdraw blood so that waste substances can be removed and to replace the blood afterwards. These vascular access sites, listed in order of increasing infection risk, may be native arteriovenous fistulae, synthetic arteriovenous grafts, "permanent" (tunneled, cuffed) catheters, and "temporary" (nontunneled, noncuffed) catheters.…”

Section: Jerome I Tokars Md Mphmentioning

confidence: 99%

“…2 A fourth article in this issue reports that higher BSI rates in hospitalized patients coincided with a decreased frequency of changing semipermeable transparent catheter dressings (once versus three times per week) and the use of alcohol swabs rather than alcohol sticks during these dressing changes. 6 Rates declined after these changes were reversed and other interventions were made. It is difficult to draw definite conclusions from this small study, but the authors suggest that changing transparent dressings 3 times a week versus less frequently may lower BSI rates.…”

Section: Jerome I Tokars Md Mphmentioning

confidence: 99%

“…Showering was not an explanation for the higher BSI rates with transparent dressings in the other study, however. 6 Several studies have now reported variation in BSI rates among dialysis facilities. 3 ' 5 -7 ' 8 This variation may be due in part to surveillance artifact (eg, different individuals collecting data or different rates of blood culturing) or to factors not amenable to change (eg, severity of patient illness).…”

Section: Jerome I Tokars Md Mphmentioning

confidence: 99%

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Bloodstream Infections in Hemodialysis Patients: Getting Some Deserved Attention

Tokars

2002

Infect. Control Hosp. Epidemiol.

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“…Some studies (6,(10)(11) evidenced no difference in infection incidence levels when comparing this type of dressing with the use of sterile gauze. Other studies (4,(12)(13) , on the other hand, appointed increased incidence of CVC-related infection when polyurethane dressings are used.…”

Section: Introductionmentioning

confidence: 99%

The Use Of Polyurethane Transparent Film In Indwelling Central Venous Catheter

Silveira

Braga

Garbin

et al. 2010

Rev. Latino-Am. Enfermagem

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Dressing is an intervention aimed to prevent infection in central venous catheter. This study aimed to analyze the frequency of catheter-related infection and skin toxicity in the use of transparent film in Hickman's catheter in patients who underwent allogeneic hematopoietic stem cell transplantation. A case series with 10 cases was carried out. Due to the presence of exudate on the average for 12 days, sterile gauze dressing was used for 12.9 days (average). Transparent film was used, on average, for 15.1 days. Catheters were precociously removed due to infection in four cases. The highest degree of skin toxicity occurred in a case that used gauze dressing and in three cases with film. The transparent film permitted visualization of the exit site of the catheter and changes with longer intervals. Descriptors Uso de la película transparente de poliuretano en el catéter venoso central de larga permanenciaEl curativo es una intervención que tiene por objetivo la prevención de infección en el catéter venoso central. El estudio tuvo como objetivo analizar la frecuencia de infección relacionada al catéter y la toxicidad cutánea en la utilización del curativo de poliuretano en el catéter de Hickman implantado en pacientes sometidos al trasplante de células tronco hematopoyéticas alogénicas. Para esto se realizó una serie de 10 casos. El exudado estuvo presente en promedio por 12 días, siendo necesario el uso del curativo de gasa estéril con cinta adhesiva por 12,9 días (promedio). El curativo de poliuretano fue utilizado en promedio por 15,1 días. La retirada precoz del catéter debido a surgimiento de infección ocurrió en cuatro casos. El mayor grado de toxicidad cutánea ocurrió en un caso que se utilizó el curativo de gasa y en tres casos que utilizaron la película. La película transparente permitió la visualización del sitio de salida del catéter y la realización del cambio en intervalos mayores.

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Weekly Transparent Dressing Changes Linked to Increased Bacteremia Rates

Abstract: Prolonging the interval between the change of transparent dressings from 3 times weekly to once weekly and switching from alcohol swab sticks to pads was associated with an increase in BSIs, which was controlled after returning to the original policy.

Cited by 11 publications

References 2 publications

Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: microbiology and risk factors

Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: microbiology and risk factors

Bloodstream Infections in Hemodialysis Patients: Getting Some Deserved Attention

The Use Of Polyurethane Transparent Film In Indwelling Central Venous Catheter

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