Effectiveness of Transparent Dressing with Chlorhexidine Gluconate for Central Venous Catheter Care in the Intensive Care Unit: A Case Control Study
Öz
The objective of this study was to compare the efficacy of standard care and transparent film dressings containing chlorhexidine gluconate in the management of central venous catheters (CVCs) in terms of catheter-related infection, cost of care, nurse satisfaction and efficiency. The study population comprised patients hospitalised in the General Intensive Care Unit of the State Hospital, and nurses employed in this unit. In the case-control study conducted between March and December 2020, the control group received standard CVC care, while the case group received CVC care with transparent film covers containing chlorhexidine. The data were collected by the researcher from patient files, nurse observation forms, face-to-face interviews with nurses, and surveillance information from the infection control committee. The data were analysed using a statistical software program. The rate of CVC utilisation in the case group was 0.66, while the rate of CVC utilisation in the control group was 0.55. Despite the higher rate of CVC use observed in the case group compared to the control group (p < 0.05), there was no evidence of catheter-related bloodstream infection. A total of 77 dressings were performed in the case group, compared to 293 in the control group. It was observed that a greater number of dressings were performed in the control group than in the case group, due to the need for routine changes, the presence of contamination and loosening. Conversely, a greater number of dressings were performed in the case group than in the control group, due to the presence of wetness. However, the cost-effectiveness of transparent dressings containing chlorhexidine gluconate was found to be superior. Nevertheless, the utilisation of transparent dressings containing chlorhexidine gluconate appeared to enhance nurse satisfaction and efficiency. Transparent dressings demonstrated no significant distinction from gauze in terms of infection. While transparent dressings with chlorhexidine gluconate exhibited limited cost-effectiveness, they contributed favourably to nurse satisfaction and efficiency.
Anahtar Kelimeler
Central Venous Catheter, Dressings, Catheter, Infection, Intensive Care, Cost
Destekleyen Kurum
None
Proje Numarası
Yok
Etik Beyan
This prospective case-control study adhered to the Helsinki Declaration and Good Clinical Practice Directive, receiving approval from the local ethics committee (Ethical Permission: Bolu Abant Izzet University Clinical Research Ethics Committee, 2020/22). Written informed consent was obtained from participating patients/patient relatives, and nurses involved in the study were informed and gave written consent.
Teşekkür
None.
Kaynakça
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