Improve cleaning and disinfectant methods for subclavian vein catheterization dressing change
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R472.9

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    Abstract:

    ObjectiveTo evaluate the effect of improved cleaning and disinfection method for subclavian venipuncture dressing change to prevent catheterassociated infection. Methods120 hospitalized patients with right subclavian venipuncture at an intensive care unit in JanuaryJune 2012 were divided into control group (n=60) and  experimental  group(n=60) according to venipuncture date. Control group adopted conventional dressing change : disinfected skin at and around puncture point by 2% iodine tincture, then used 75% alcohol for deiodination ; experimental  group adopted improved dressing change : Wiped skin at and around puncture point three times by normal saline, cleaned catheter, disinfected skin around puncture point (avoid puncture point) three times by 75% alcohol,  disinfected skin at and around puncture point three times by 0.5% iodine tincture , then disinfected catheter . Associated infection rate between two groups were compared . ResultsFocal infection rate and CRBI rate of experimental group were both lower than control group(5.00% vs 16.67% ;1.67% vs 13.33%), the difference was statistically different (P< 0.05). ConclusionEffect of improved dressing method is better than the conventional dressing method, it can effectively prevent occurrence of focal infection and CRBI. 

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陈雪仙, 黄毓琼.锁骨下静脉置管敷料更换时清洁消毒方法的改良[J].中国感染控制杂志英文版,2014,13(6):368-370. DOI:10.3969/j. issn.1671-9638.2014.06.013.
CHEN Xuexian, HUANG Yuqiong. Improve cleaning and disinfectant methods for subclavian vein catheterization dressing change[J]. Chin J Infect Control, 2014,13(6):368-370. DOI:10.3969/j. issn.1671-9638.2014.06.013.

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History
  • Received:October 09,2013
  • Revised:December 10,2013
  • Adopted:
  • Online: June 30,2014
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