Volume 20, Issue 11 (February 2023)                   Nursing and Midwifery Journal 2023, 20(11): 931-938 | Back to browse issues page

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URL: http://unmf.umsu.ac.ir/article-1-4598-en.html
1- Urmia University of Medical Sciences, Urmia, Iran
2- Instructor Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , esmaeili.r@gmail.com
3- Associate Professor of Nursing Education, Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
4- Associate Professor of Kidney Diseases (Adults), Department of Internal Medicine, Nephrology and Kidney Transplantation Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (536 Views)
Background & Aim: In the patients undergoing hemodialysis, infection is one of the most common complications that may occur after the insertion of a central venous catheter, and if happens, may lead to death and disability, increase the length of the patient's stay in the hospital, and increase costs. Therefore, this study aimed to determine the effect of chlorhexidine-impregnated dressings compared to usual dressings on the bacterial colonization rate of temporary hemodialysis catheters in hemodialysis.
Materials & Methods: In this clinical trial, 80 patients admitted to Taleghani, Imam Khomeini, Azarbaijan hospitals, and Omid Azarbaijan Dialysis Center in Urmia, Iran were randomly selected and placed in one of the two groups of chlorhexidine-impregnated dressings (Intervention Group) and povidone-iodine dressings (Control Group); then the two groups were compared with skin culture in terms of bacterial colonization. The collected data were analyzed using SPSS software version 24 and Fisher's exact statistical tests, chi-square test, and independent t-test.
Results: Bacterial colonization was 5% in the alcoholic chlorhexidine group and 15% in the betadine group. The Exact Fischer test showed a significant difference between the two groups, regarding bacterial colonization (p = 0.003).
Conclusion: The chlorhexidine-impregnated dressings are more effective than povidone-iodine dressings in reducing bacterial colonization of temporary catheter exit sites in hemodialysis patients.
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Type of Study: Research | Subject: پرستاری

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