Volume 20, Issue 11 (February 2023)
Nursing and Midwifery Journal 2023, 20(11): 931-938 |
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Pourmehr O, Esmaeili zabihi R, Jasemi M, Makhdoomi K. THE EFFECT OF USING CHLORHEXIDINE-IMPREGNATED DRESSINGS COMPARED TO USUAL DRESSINGS ON THE BACTERIAL COLONIZATION RATE OF TEMPORARY HEMODIALYSIS CATHETERS IN HEMODIALYSIS PATIENTS. Nursing and Midwifery Journal 2023; 20 (11) :931-938
URL: http://unmf.umsu.ac.ir/article-1-4598-en.html
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
2- Instructor Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,
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: (1292 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.
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.
Keywords: Alcoholic Chlorhexidine Dressing, Bacterial Colonization, Catheter, Hemodialysis, Infection, Povidone Iodine
References
1. Yang C-W, Harris DC, Luyckx VA, Nangaku M, Hou FF, Garcia GG, et al. Global case studies for chronic kidney disease/end-stage kidney disease care. Kidney Int Suppl 2020;10(1):24-48. [DOI:10.1016/j.kisu.2019.11.010] [PMID] [PMCID]
2. Bouya S, Balouchi A, Rafiemanesh H, Hesaraki M. Prevalence of Chronic Kidney Disease in Iranian General Population: A Meta‐Analysis and Systematic Review. Ther Apher Dial 2018;22(6):594-9. [DOI:10.1111/1744-9987.12716] [PMID]
3. Okhli A, Masoudi R. The Impact of Family-Based Empowerment Pattern on Hemodialysis Patients in Golestan Province. Iran J Rehabil Res 2019;5(3):8-13. [Google Scholar]
4. Bastani M, Ghasemi G. The Effect of Selected Core Stability Exercises on Restless Legs Syndrome and Quality of Life in the Elderly Undergoing Hemodialysis. Qom Univ Med Sci J 2018;12(8):48-58. [DOI:10.29252/qums.12.8.48]
5. Nagasawa H, Sugita I, Tachi T, Esaki H, Yoshida A, Kanematsu Y, et al. The relationship between dialysis patients' quality of life and caregivers' quality of life. Front Pharmacol 2018;9:770. [DOI:10.3389/fphar.2018.00770] [PMID] [PMCID]
6. Baloochi Beydokhti T, Ghadimifar A, Soleimani Moghaddam R. A comparative study on the effects of acupressure at sp6 and st36 acupoints on the pain caused by fistula needle placement in hemodialysis patients. Complement Med J 2021;10(4):354-67. [DOI:10.32598/cmja.10.4.975.1]
7. Merino JL, Bouarich H, Pita MJ, Martínez P, Bueno B, Caldés S, et al. Serratia marcescens bacteraemia outbreak in haemodialysis patients with tunnelled catheters due to colonisation of antiseptic solution. Experience at 4 hospitals. Nefrología 2016;36(6):667-73. [DOI:10.1016/j.nefro.2016.05.009] [PMID]
8. Raad II, Bodey GP. Infectious complications of indwelling vascular catheters. Clin Inf Dis 1992:197-208. [DOI:10.1093/clinids/15.2.197] [PMID]
9. Carroll H. Haemodialysis catheters 2018 [updated 2018/6/10cited 2020 10/18]. 3th: [Available from: https://www.health.qld.gov.au/__data/assets/pdf_file/0025/444670/icare-haemodialysis-guideline.pdf.
11. Paglialonga F, Consolo S, Biasuzzi A, Assomou J, Gattarello E, Patricelli MG, et al. Reduction in catheter‐related infections after switching from povidone‐iodine to chlorhexidine for the exit‐site care of tunneled central venous catheters in children on hemodialysis. Hemodial Int 2014;18:S13-S8. [DOI:10.1111/hdi.12218] [PMID]
12. Hou-Xing W, Shu-Yuan X, Hao W, Hao-Kai C. The effects of chlorhexidine dressing on health care-associated infection in hospitalized patients: a meta-analysis. Iran J Public Health 2019;48(5):796. [PMCID]
13. Shiri H, Nassary Z, Behbahani M, Torabpour TM, Sedghifard Z. Comparing the effects of chlorhexidine and povidone-iodine on bacterial colonization and local infection at Shaldon catheter insertion site among patients receiving hemodialysis. Crit Care Nurs 2015;8(1):21-26. [Google Scholar]
14. Murray PR, Rosenthal KS, Pfaller MA. Medical microbiology E-book: Elsevier Health Sciences; 2020. [Google Scholar]
15. Marty Cooney R, Manickam N, Becherer P, Harmon LS, Gregg L, Farkas Z, et al. 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-S6. [DOI:10.12968/bjon.2020.29.2.S24] [PMID]
16. Guidet B, Gabillet J, Snoey E, Offenstadt G, Nicola I, Barakett V, et al. Skin versus hub cultures to predict colonization and infection of central venous catheter in intensive care patients. Infection 1994;22(1):43-8. [DOI:10.1007/BF01780765] [PMID]
17. Pinelli F, Cecero E, Degl'Innocenti D, Selmi V, Giua R, Villa G, et al. Infection of totally implantable venous access devices: a review of the literature. J Vasc Access 2018;19(3):230-42. [DOI:10.1177/1129729818758999] [PMID]
18. Mimoz O, Villeminey S, Ragot S, Dahyot-Fizelier C, Laksiri L, Petitpas F, et al. Chlorhexidine-based antiseptic solution vs alcohol-based povidone-iodine for central venous catheter care. Arch Intern Med 2007;167(19):2066-72. [DOI:10.1001/archinte.167.19.2066] [PMID]
19. Yu K, Lu M, Meng Y, Zhao Y, Li Z. Chlorhexidine gluconate transparent dressing does not decrease central line‐associated bloodstream infection in critically ill patients: A randomized controlled trial. Int J Nurs Pract 2019;25(6):e12776. [DOI:10.1111/ijn.12776] [PMCID]
20. Astle CM. Infection rates in tunneled hemodialysis central venous catheters: A comparison between chlorhexidine and amuchina. 2004:1-102. [Google Scholar]
21. Ishizuka M, Nagata H, Takagi K, Kubota K. Comparison of 0.05% chlorhexidine and 10% povidone-iodine as cutaneous disinfectant for prevention of central venous catheter-related bloodstream infection: a comparative study. Eur Surg Res 2009;43(3):286-90. [DOI:10.1159/000231709] [PMID]
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