Document Detail


Sealing the catheter exit site with dressing film and its effectiveness in preventing exit-site infection: bacterial culture.
MedLine Citation:
PMID:  8865906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study, we performed exit-site care using one of three methods (A: cleanse the exit site with povidone-iodine daily and apply gauze dressing; B: cleanse the exit site with povidone-iodine once a week, cover the site with a small gauze, and seal it completely with dressing film; C: the same as in B, above, except once every two weeks). The results show that there was a higher rate of positive bacterial growth in method A (17/24, 71%), and we concluded that the sterility of the exit site was not maintained 24 hours after cleansing. In methods B and C, in which the exit site was kept sealed, we did not detect bacterial growth in almost any of the cases (B = 0/44, C = 1/7). Although the patients took a bath and did not perform any care of the exit site for one to two weeks, the results show that the exit site was protected from bacterial invasion. We believe that this method could reduce exit-site infection while requiring no daily care.
Authors:
S Tanaka
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Advances in peritoneal dialysis. Conference on Peritoneal Dialysis     Volume:  12     ISSN:  1197-8554     ISO Abbreviation:  Adv Perit Dial     Publication Date:  1996  
Date Detail:
Created Date:  1997-01-30     Completed Date:  1997-01-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9104803     Medline TA:  Adv Perit Dial     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  214-7     Citation Subset:  IM    
Affiliation:
Shigeru Tanaka Division of Surgery, Kitakyushu Municipal Tobata Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Bacterial Infections / microbiology,  prevention & control*
Bacteriological Techniques
Catheters, Indwelling*
Colony Count, Microbial
Female
Humans
Kidney Failure, Chronic / microbiology,  therapy*
Male
Occlusive Dressings*
Peritoneal Dialysis, Continuous Ambulatory / instrumentation*
Povidone-Iodine / administration & dosage
Surgical Wound Infection / microbiology,  prevention & control*
Chemical
Reg. No./Substance:
25655-41-8/Povidone-Iodine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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