Comparison of Standard Dressing and Chlorhexidine Gluconate-impregnated Dressing for the Prevention of Catheter-related Bloodstream Infection in Our Pediatric Intensive Care Unit
Journal Title: The Journal of Pediatric Emergency and Intensive Care Medicine - Year 2020, Vol 7, Issue 1
Abstract
Introduction: Central venous catheters are frequently used for intravenous applications and hemodynamic monitoring in pediatric intensive care units. In addition to the benefits of the catheters, they can lead to many complications such as catheter-related bloodstream infection (CRBI). One of the most important steps in the prevention of CRBI is nursing care. Here, we compared CRBI rates between standard dressing and chlorhexidine gluconate-impregnated dressing in our pediatric intensive care unit. Methods: A total of 144 patients, who underwent central venous catheter and hemodialysis catheter placement, were included in the study. The patients were divided into two groups as standard dressing and chlorhexidine gluconate-impregnated dressing. The diagnosis of CRBI and colonization was made using the diagnostic criteria of the Center for Disease Control and Prevention. Results: The total number of central catheter days was 3749 in our pediatric intensive care unit during the study period. The CRBI rate was 4.53/1000 central venous catheter days. In the whole group, the CRBI rate was 10.4% and colonization rate was 11.8%. CRBI was detected in 13 patients (12.3%) with standard dressing and 2 patients (5.1%) in the chlorhexidine gluconate-impregnated dressing group. There was no statistically significant difference in CRBI risk and catheter colonization between the groups (p=0.356 and p=0.616, respectively). Conclusion: The rate of CRBI and colonization in the chlorhexidine gluconate impregnated dressing group was found to be lower than in the standard dressing group although not statistically significant. We believe that studies with larger patient groups will contribute to the literature.
Authors and Affiliations
Nagehan Aslan, Dinçer Yıldızdaş, Ayşe Menemencioğlu, Filiz Korkmaz, Özden Özgür Horoz, Özlem Özgür Gündeşlioğlu
A Child with Severe Paraesthesia due to Pyrethroid Exposure: Successful Treatment with Topical Vitamin E
Pyrethroids are one of the most common insecticides and have been known as safe household insecticides. They are highly toxic for insects whereas they are low in toxicity for mammals. Poisoning syndromes occur via oral,...
The Effect of Hospitalization Education Given to the Parents of Premature Babies in Intensive Care Unit on Their Stress Levels
Introduction: The study was planned as a semi-experimental type in order to evaluate the efficacy of hospitalization education given for decreasing stress levels of the parents whose babies were hospitalized in neonatal...
Capnography During Procedural Sedation and Analgesia with Intramuscular Ketamine in Paediatric Patients
Introduction: Capnography is a proven effective tool for procedural sedation and analgesia (PSA); however it is hardly available in developing countries like Iran. This study aimed to discover the frequency of hypoventil...
Pediatric Cyanide Poisoning After Ingestion of Apricot Seeds
Cyanide is one of the strongest and lethal poisons. Cyanide leads to tissue hypoxia and lactic acid accumulation. Hydroxocobalamin is a safe, fast and effective antidote that could be used, especially in children. In thi...
An Evaluation of Patients Brought to the Pediatric Emergency Department by Ambulance
Introduction: Patient transportation by ambulance is a life-saving health step for patients with life-threatening conditions requiring urgent treatment. The purpose of this study was to retrospectively examine patients b...