Comparison of catheter related infection rates in pediatric cardiovascular surgery patients with use of transparent cover and transparent cover saturated with chlorhexidin gluconate in central catheter care

Öz

Objective: The study was conducted to compare catheter related blood circulation infection and catheter colonization rates in pediatric cardiovascular surgery patients with use of transparent cover in central catheter dressing and transparent cover saturated with chlorhexidin gluconate in central catheter dressing. Method: Transparent cover was used in the central catheter dressing of 60 of 245 pediatric patients who underwent cardiac surgery at Acıbadem Bakırköy Hospital between April 2011-Aralık 2011, whereas transparent cover saturated with chlorhexidin gluconate was used in 63 patients. The clinical study was held on consent of the patients. Patients whose catheters were affixed under emergency conditions or into femoral area, as well as those whose consents were not obtained were not included in the study. In analysis of the data, descriptive statistics, Mann Whitney U, Pearson’s Chi-square, Fisher’s Exact, and Yates Continuity Correction tests, were used. Results: No statistically significant difference was found between mean ages, gender distributions, days of catheter use, days of stay in the intensive care unit and the hospital of the patients p>0.05 . The period of stay in the intensive care unit of the patients with use of transparent cover saturated with chlorhexidin was 2.0 days 1-4 median, 25%-75% percentile , days of stay in the hospital 14.0 days 8-22 median, 25%-75% percentile , and days of catheter use 7.0 days 6-10 median, 25%-75% percentile . The period of stay in the intensive care of the patients with use of transparent cover was 2.0 days 1-4 median, 25%-75% percentile , days of stay in the hospital 14.0 days 8-22 median, 25%-75% percentile , and days of catheter use 7.5 6-9.75 median, 25%-75% percentile . While no statistically significant difference was found between the rates of infection in blood circulation related to central catheter and infection at the site of catheter entry, the rate of colonization in the group using transparent cover saturated with chlorhexidin was found significantly lower compared to the other group p

Anahtar Kelimeler

• Catheter infection,catheter dressing,colonization,chlorhexidin,pediatric cardiovascular surgery

Santral Kateter Bakımında Şeffaf Örtü ve Klorheksidin Glukonat Emdirilmiş Şeffaf Örtü Kullanılan Pediyatrik Kardiyovasküler Cerrahi Hastalarının Kateter İlişkili Enfeksiyon Oranlarının Karşılaştırılması

Öz

Amaç: Bu çalışma, pediyatrik kardiyovasküler cerrahi hastalarında, santral kateter pansumanında klorheksidin glukonat emdirilmiş şeffaf örtü kullanılan hastalar ile santral kateter pansumanında şeffaf örtü kullanılan hastaların kateter ile ilişkili kan dolaşımı enfeksiyonu ve kateter kolonizasyon oranlarını karşılaştırmak amacıyla yapılmıştır. Yöntem: Nisan 2011-Aralık 2011 tarihleri arasında Acıbadem Bakırköy Hastanesi’nde kalp cerrahisi uygulanan 245 pediatrik hastadan 60’ının santral kateter pansumanında şeffaf örtü kullanılırken, 63’ünde klorheksidin glukonat emdirilmiş şeffaf örtü kullanıldı. Klinik çalışma hastalardan onam alınarak yapıldı. Kateteri acil şartlarda veya femoral bölgeye takılan ve onam alınamayan hastalar çalışmaya alınmadı. Verilerin analizinde tanımlayıcı istatistikler, Mann Whitney U, Pearson’un Ki-kare, Fisher’in Kesin ve Yates Süreklilik Düzeltmesi testleri kullanıldı. Bulgular: Hastaların yaş ortalamaları, cinsiyet dağılımları, kateter kullanım günleri, yoğun bakımda ve hastanede kalış süreleri arasında istatistiksel olarak anlamlı farklılık saptanmadı p>0.05 . Klorheksidin emdirilmiş şeffaf örtü kullanılan hastaların yoğun bakımda kalış günü 2.0 1-4 medyan, %25-%75 persentil , hastanede kalış günü 14.0 8-22 medyan, %25-%75 persentil , kateter kullanım günü 7.0 6-10 medyan, %25-%75 persentil ’dir. Şeffaf örtü kullanılan hastaların yoğun bakımda kalış günü 2.0 1-4 medyan, %25-%75 persentil , hastanede kalış günü 14.0 9-17 medyan, %25-%75 persentil , kateter kullanım günü 7.5 6-9.75 medyan, %25-%75 persentil ’tir. Santral kateter ile ilişkili kan dolaşımında enfeksiyon görülme oranları ve kateter giriş yeri enfeksiyonu arasında istatistiksel olarak anlamlı farklılık saptanmazken, klorheksidin emdirilmiş şeffaf örtü kullanılan grupta kolonizasyon görülme oranları diğer gruba göre anlamlı düzeyde düşük bulundu p

Anahtar Kelimeler

• Kateter enfeksiyonu,kateter pansumanı,kolonizasyon,klorheksidin,pediyatrik kardiyovasküler cerrahi

Kaynakça

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