Use of a chlorhexidine-impregnated dressing reduced catheter-related bloodstream infections caused by Gram-positive microorganisms. | [Pakistan Journal of Medical Sciences • 2018]

Author(s):

1. Ayse Betul Ergul: Department of Pediatrics, Intensive Care Unit, University of Health Sciences, Kayseri Training and Research hospital,Kocasinan, Kayseri, Turkey

2. Ikbal Gokcek: Department of Pediatrics, Intensive Care Unit, University of Health Sciences, Kayseri Training and Research hospital,Kocasinan, Kayseri, Turkey

3. Alper Ozcan: Department of Pediatrics, Intensive Care Unit, University of Health Sciences, Kayseri Training and Research hospital,Kocasinan, Kayseri, Turkey

4. Serife Cetin: Department of Pediatrics, Intensive Care Unit, University of Health Sciences, Kayseri Training and Research hospital,Kocasinan, Kayseri, Turkey

5. Nurkan Gultekin: Department of Infection Control, University of Health Sciences, Kayseri Training and Research Hospital, Kayseri, Turkey

6. Yasemin Altuner Torun: University of Health Sciences, Kayseri Training and Research Hospital, Kayseri, Turkey

Abstract:

Objective: We compared the protective effects of secure Chlorhexidine Gluconate (CHG)-containing dressings with those of non-antimicrobial transparent dressings. Methods: This prospective, comparative, single-center clinical study was conducted in a tertiary pediatric intensive care unit from October 2014 to March 2017. The inclusion criterion was catheterization of the jugular vein for =48 hour. The study was conducted in two phases. Non-antimicrobial standard dressings were applied both before and after the CHG- dressing phase to negate any coincidental temporal effect. During the standard-dressing phases, the dressings did not include any antimicrobial; transparent CHGimpregnated dressings were applied during the test phase. All patients were divided into two groups by the type of dressing applied (standard and CHG-containing dressings). Results: The standard- and CHG-dressing groups contained 68 and 63 patients, respectively. The median durations of catheterization were 13 (8-22) and 14 (2-28) days, respectively (p>0.05). The Catheter-Related Bloodstream Infection (CRBSI) rate was somewhat lower in the CHG-dressing group (20.6 vs. 26.5%), but the difference was not statistically significant (p>0.05). In the CHG-dressing group, CRBSIs caused by Grampositive microorganisms totaled 0%, but the figure was 8.8% in the control group ( p=0.028). Conclusions: CHG dressings reduced CRBSIs caused by Gram-positive microorganisms.

Page(s): 347-351

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 34, Issue: 2, Year: 2018

Keywords:

Catheter securement , Chlorhexidine dressing

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