The Incidences of Catheter Colonization and Central Line-Associated Bloodstream Infection According to Tegaderm vs. Chlorhexidine Gluconate (CHG)-Tegaderm Dressing

2020 ◽  
Vol 50 (4) ◽  
pp. 541
Author(s):  
Eunji Kim ◽  
Haejung Lee
Keyword(s):  
Bloodstream Infection ◽  
Central Line ◽  
Chlorhexidine Gluconate ◽  
Catheter Colonization

Comparison of chlorhexidine impregnated dressing and standard dressing for the prevention of central-line associated blood stream infection and colonization in Critically Ill Pediatric Patients: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Muhterem Duyu ◽  
Zeynep Karakaya ◽  
Pinar Yazici ◽  
Senanur Yavuz ◽  
Nihal Meryem Yersel ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Pediatric Patients ◽  
Blood Stream Infection ◽  
Controlled Trial ◽  
Central Line ◽  
Blood Product Transfusion ◽  
Catheter Colonization ◽  
Randomized Controlled

Abstract Objective: The purpose of this study is to compare chlorhexidine gluconate (CHG)-impregnated dressing and standard dressing with respect to their effects on the frequency of central-line associated bloodstream infection (CLABSI), catheter related bloodstream infection (CRBSI), primary bloodstream infection (BSI) and catheter colonization in critically ill pediatric patients with short-term central venous catheter.Methods: Prospective, single-center randomized controlled trial performed in pediatric intensive care unit (PICU) of a tertiary referral hospital. The patients were randomized with respect to the type of catheter fixation they had received, either with CHG-impregnated dressing or standard dressing.Results: A total of 307 patients (151 CHG-impregnated dressing, 156 standard dressing), with 307 catheters amounting to a collective total of 4993 catheter days, were included in the study. Use of CHG impregnated dressing did not significantly decrease the incidence of CLABSI (6.36 per 1000 catheter days vs. 7.59 per 1000 catheter days; HR: 0.93, P = 0.76), CRBSI (3.82 per 1000 catheter days vs. 4.18 per 1000 catheter days; HR: 0.98, P = 0.98), primary BSI (2.54 per 1000 catheter days vs. 3.42 catheter days; HR: 0.39, P = 0.67). CHG-impregnated dressing significantly decreased the incidence of catheter colonization (3.82 per 1000 catheter days vs. 7.59 per 1000 catheter days; HR: 0.40, P = 0.04). Longer catheter time-in-place and use of blood product transfusion were found to be independently associated with CLABSI.Conclusions: The use of CHG-impregnated dressing does not significantly decrease CLABSI incidence in critically ill pediatric patients compared to standard dressing, but it is effective in reducing catheter colonization.

Elimination of hospital‐acquired central line‐associated bloodstream infection on a mixed‐service pediatric unit

2021 ◽  
Author(s):  
Ethan A. Mezoff ◽  
Erika Roberts ◽  
Daniel Ernst ◽  
Michelle Gniadek ◽  
Wendi Beauseau ◽  
...  
Keyword(s):  
Bloodstream Infection ◽  
Central Line ◽  
Hospital Acquired
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