1. Use of a 1-Piece Chlorhexidine Gluconate Transparent Dressing on Critically Ill Patients.
- Author
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Pfaff, Barbara, Heithaus, Teresa, and Emanuelsen, Madeline
- Subjects
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CHLORHEXIDINE , *COMPARATIVE studies , *COST control , *CRITICALLY ill , *INTENSIVE care nursing , *NURSES , *OCCLUSIVE surgical dressings , *PATIENTS , *SURGICAL dressings , *TRANSPARENCY (Optics) , *CENTRAL venous catheters , *VASCULAR catheters , *CATHETER-related infections , *ECONOMICS , *SAFETY , *THERAPEUTICS , *INFECTION prevention - Abstract
BACKGROUND New transparent dressings with chlorhexidine gluconate in the dressing are available. OBJECTIVES To compare the effectiveness of a new 1-piece occlusive dressing that incorporates chlorhexidine gluconate with that of a dressing plus a chlorhexidine gluconate patch in maintaining the low rate of catheter-related bloodstream infections in the intensive care unit and to evaluate nurses' satisfaction with and cost of the new dressing. METHODS A quality improvement observational study was done in an adult medical-surgical intensive care unit. All patients with a central venous catheter had initial and/or subsequent dressing changes done with the new dressing. The central catheter bundle elements of the Institute for Healthcare Improvement were followed. Patients were monitored for catheter-related bloodstream infections, and the rate of infection was calculated. RESULTS During the study period of 1881 device days, the infection rate was 0.051 per 1000 device days, compared with a rate of 0.052 in 2008. Nurses preferred the new dressing. Cost savings were $3807. CONCLUSION A low rate of catheter-related bloodstream infections can be maintained, nurses' satisfaction achieved, and cost savings realized with the new dressing. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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