Improving central venous catheter care with chlorhexidine gluconate dressings: evidence from a systematic review and Meta-analysis

Osman D, Mehmet K, Halil K. US-guided central venous catheter placement in the neonatal intensive care unit: brachiocephalic vein or internal jugular vein? J Vasc Access 2023:11297298231152679.

Abad CL, Bello JAG, Mano MJ, de Lara FCV, Perez MCP. The effectiveness of a dedicated central venous access care team to prevent catheter-related bloodstream infection in a private hospital. Infect Prev Pract. 2023;5(1):100259.

Article  PubMed  Google Scholar 

Schalk E, Panse J. Which trial do we need? Scheduled central venous catheter removal vs. routine clinical care for prevention of central venous catheter-related bloodstream infections in patients with haematologic malignancies. Clin Microbiol Infect. 2023;22(6):10–9.

Google Scholar 

Banshodani M, Marubayashi S, Kawai Y, Hashimoto S, Shintaku S, Moriishi M, Tsuchiya S, Kawanishi H. The impact of tunneled central venous hemodialysis catheter on Mortality of Elderly Hemodialysis patients hospitalized in a long-term Care Hospital. Blood Purif 2023:1–9.

Paquet F, Morlese J, Frenette C. Use of dry dressings for central venous access devices (CVADs) to decrease central line-associated blood stream infections (CLABSI) in a trauma intensive care unit (ICU). Br J Nurs. 2021;30(8):S37–42.

Article  PubMed  Google Scholar 

Mian A, Russell C, Honeycutt M, Oldridge C. Multidisciplinary approach to reduction of central line associated blood stream infections (CLABSI): an institutional experience with collaborative guidelines. J Ark Med Soc. 2012;109(7):128–31.

PubMed  Google Scholar 

Clarke P, Craig JV, Wain J, Tremlett C, Linsell L, Bowler U, Juszczak E, Heath PT. Safety and efficacy of 2% chlorhexidine gluconate aqueous versus 2% chlorhexidine gluconate in 70% isopropyl alcohol for skin disinfection prior to percutaneous central venous catheter insertion in preterm neonates: the ARCTIC randomised-controlled feasibility trial protocol. BMJ Open. 2019;9(2):e028022.

Article  PubMed  PubMed Central  Google Scholar 

Ullman AJ, Cooke ML, Mitchell M, Lin F, New K, Long DA, Mihala G, Rickard CM. Dressings and securement devices for central venous catheters (CVC). Cochrane Database Syst Rev. 2015;2015(9):CD010367.

PubMed  PubMed Central  Google Scholar 

Zhang F, Hong H, Zhou X. Effect of chlorhexidine gluconate antibacterial transparent dressing on puncture point infection in outpatients with PICC. J Wenzhou Med Univ. 2017;47(11):3–6.

Google Scholar 

Ruschulte H, Franke M, Gastmeier P, Zenz S, Mahr KH, Buchholz S, Hertenstein B, Hecker H, Piepenbrock S. Prevention of central venous catheter related infections with chlorhexidine gluconate impregnated wound dressings: a randomized controlled trial. Ann Hematol. 2009;88(3):267–72.

Article  CAS  PubMed  Google Scholar 

Pook M, Zamir N, McDonald E, Fox-Robichaud A. Chlorhexidine (di)gluconate locking device for central line infection prevention in intensive care unit patients: a multi-unit, pilot randomized controlled trial. Br J Nurs. 2022;31(14):S36–46.

Article  PubMed  Google Scholar 

Yamashita T, Takamori A, Nakagawachi A, Tanigawa Y, Hamada Y, Aoki Y, Sakaguchi Y. Early prophylaxis of central venous catheter-related thrombosis using 1% chlorhexidine gluconate and chlorhexidine-gel-impregnated dressings: a retrospective cohort study. Sci Rep. 2020;10(1):15952.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Balamongkhon B, Thamlikitkul V. Implementation of chlorhexidine gluconate for central venous catheter site care at Siriraj Hospital, Bangkok, Thailand. Am J Infect Control. 2007;35(9):585–8.

Article  PubMed  Google Scholar 

Marty Cooney R, Manickam N, Becherer P, Harmon LS, Gregg L, Farkas Z, Shea LM, Parekh P, Murphy J, Shade W. The use of 3.15% chlorhexidine gluconate/70% alcohol hub disinfection to prevent central line-associated bloodstream infections in dialysis patients. Br J Nurs. 2020;29(2):S24–6.

Article  CAS  PubMed  Google Scholar 

Lin MR, Chang PJ, Hsu PC, Lin CS, Chiu CH, Chen CJ. Comparison of efficacy of 2% chlorhexidine gluconate-alcohol and 10% povidone-iodine-alcohol against Catheter-Related Bloodstream Infections and bacterial colonization at central venous catheter insertion sites: a prospective, Single-Center, Open-Label, crossover study. J Clin Med. 2022;11(8):9–16.

Article  Google Scholar 

Yucai F, Hongyan M, Wenjun Y. Effect of chlorhexidine gluconate antibacterial transparent dressing on infection rate in patients after lumbar cistern catheterization. Int Med Health Bull. 2022;28(7):3–6.

Google Scholar 

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.

Article  PubMed  PubMed Central  Google Scholar 

Chaves F, Garnacho-Montero J, Del Pozo JL, Bouza E, Capdevila JA, de Cueto M, Dominguez MA, Esteban J, Fernandez-Hidalgo N, Fernandez Sampedro M, et al. Diagnosis and treatment of catheter-related bloodstream infection: clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary units (SEMICYUC). Med Intensiva (Engl Ed). 2018;42(1):5–36.

Article  CAS  PubMed  Google Scholar 

Bartoli A, Donadoni M, Quici M, Rizzi G, La Cava L, Foschi A, Calloni M, Casella F, Martini E, Taino A et al. Safety of mid-thigh exit site venous catheters in multidrug resistant colonized patients. J Vasc Access 2023:11297298231188150.

Feng B, Ye X, Xing X. Chlorhexidine gluconate antibacterial dressing combined with chlorhexidine scrub bath in the prevention of femoral vein hemofiltration catheter related blood flow infection. Chin J Practical Nurs. 2018;34(15):1182–5.

Google Scholar 

Guo Y, Lu H, Cheng H. Effect of chlorhexidine gluconate antibacterial dressing on prevention of central venous catheter-related blood flow infection in patients with sepsis-related thrombocytopenia. J Practical Clin Nurs. 2020;5(23):12–5.

Google Scholar 

Liu W, Zhang L, Wang Y. Application of chlorhexidine gluconate antibacterial dressing in long-term catheter of hemodialysis. China Blood Purif. 2019;18(12):834–6.

Google Scholar 

Margatho AS, Ciol MA, Hoffman JM, Dos Reis PED, Furuya RK, Lima D, Basile-Filho A, Silveira R. Chlorhexidine-impregnated gel dressing compared with transparent polyurethane dressing in the prevention of catheter-related infections in critically ill adult patients: a pilot randomised controlled trial. Aust Crit Care. 2019;32(6):471–8.

Article  PubMed  Google Scholar 

Maunoury F, Motrunich A, Palka-Santini M, Bernatchez SF, Ruckly S, Timsit JF. Cost-effectiveness analysis of a transparent Antimicrobial dressing for managing central venous and arterial catheters in Intensive Care Units. PLoS ONE. 2015;10(6):e0130439.

Article  PubMed  PubMed Central  Google Scholar 

Pedrolo E, Danski MT, Vayego SA. Chlorhexidine and gauze and tape dressings for central venous catheters: a randomized clinical trial. Rev Lat Am Enfermagem. 2014;22(5):764–71.

Article  PubMed  PubMed Central  Google Scholar 

Qian X, Li H, Wang Q. Cost-effectiveness analysis of chlorhexidine gluconate antibacterial transparent dressing and Putong transparent dressing in patients with ICU central venous catheterization. China Drug Evaluation. 2020;37(2):153–60.

Google Scholar 

Rickard CM, Lipman J, Courtney M, Siversen R, Daley P. Routine changing of intravenous administration sets does not reduce colonization or infection in central venous catheters. Infect Control Hosp Epidemiol. 2004;25(8):650–5.

Article  PubMed  Google Scholar 

Timsit JF, Mimoz O, Mourvillier B, Souweine B, Garrouste-Orgeas M, Alfandari S, Plantefeve G, Bronchard R, Troche G, Gauzit R, et al. Randomized controlled trial of chlorhexidine dressing and highly adhesive dressing for preventing catheter-related infections in critically ill adults. Am J Respir Crit Care Med. 2012;186(12):1272–8.

Article  CAS  PubMed  Google Scholar 

Timsit JF, Schwebel C, Bouadma L, Geffroy A, Garrouste-Orgeas M, Pease S, Herault MC, Haouache H, Calvino-Gunther S, Gestin B, et al. Chlorhexidine-impregnated sponges and less frequent dressing changes for prevention of catheter-related infections in critically ill adults: a randomized controlled trial. JAMA. 2009;301(12):1231–41.

Article  CAS  PubMed  Google Scholar 

Xie J, Xia G, Tang Y. Effect of antibacterial dressing on prevention of PICC catheter-related infection in patients with myelosuppression caused by chemotherapy of lung cancer. Chin Clin Res. 2022;35(10):5–8.

Google Scholar 

Yu K, Li Z, Wang J. The effect and cost of two kinds of transparent dressings on central venous catheter-related blood infection rate. Chin J Practical Nurs. 2015;31(36):2777–80.

Google Scholar 

Lili S, Yanhui L. Analysis of epidemiological characteristics and risk factors of catheter-related blood flow infection in emergency critically ill patients. J Cardiopulm Vascular Dis. 2018;37(5):406–9.

Google Scholar 

Yiyu D, Fengcai S, Qiongyu L. Analysis of risk factors and prognosis of blood flow infection in intensive care unit. Chin J Emerg Med. 2015;24(12):1425–9.

Google Scholar 

Mazi WA, Abdulwahab MH, Alashqar MA, Aldecoa YS, Bahat ZR, Suaking JL, Saeed A, Yassin OS, Mahfouz SA, Senok A. Sustained low incidence rates of Central Line-Associated Blood Stream infections in the Intensive Care Unit. Infect Drug Resist. 2021;14:889–94.

Article  PubMed  PubMed Central  Google Scholar 

Snyder AN, Burjonrappa S. Central line associated blood stream infections in gastroschisis patients: a nationwide database analysis of risks, outcomes, and disparities. J Pediatr Surg. 2020;55(2):286–91.

Article  PubMed  Google Scholar 

Flood A. Preventing Central Line Blood Stream infections in critical care patients. Crit Care Nurs Clin North Am. 2021;33(4):419–29.

Article  PubMed  Google Scholar 

Hord JD, Lawlor J, Werner E, Billett AL, Bundy DG, Winkle C, Gaur AH. Children’s Hospital Association Childhood C, Blood disorders N: Central Line Associated Blood Stream infections in Pediatric Hematology/Oncology patients with different types of Central Lines. Pediatr Blood Cancer. 2016;63(9):1603–7.

Article  PubMed  Google Scholar 

Park YS, Pruinelli L. Developing Information Model of Central Line-Associated Bloodstream Infection (CLABSI) Prevention. Stud Health Technol Inf. 2021;284:408–13.

Google Scholar 

Campbell AJ, Blyth C

留言 (0)

沒有登入
gif