Skin antisepsis for reducing central venous catheter-related infections

Abstract

Skin antisepsis for reducing central venous catheter-related infections.

Minimising central line‐associated bloodstream infection rate in inserting central venous catheters in the adult intensive care units

“…All studies were single‐centred and consisted of three randomised control trials (Lutz et al., ; Mimoz et al., ; Vallés et al., ) and one observational prospective study (Girard, Comby, & Jacques, ). One Cochrane review was also included (Lai et al., ) (Table ).…”

“…Lai et al. () mentioned that the most commonly investigated skin antiseptic agents under the literature were the CHG and PVP. According to Lai et al.…”

“…According to Lai et al. (), other skin antiseptic agents were evaluated as well but these were small single studies, which, in most of them, did not include CR‐BSIs as an outcome measure.…”

“…This literature review has found that the use of chlorhexidine preparations, especially if combined with alcohol, significantly minimised the colonisation rates if used to decolonise patients' skin before CVC insertion (Lai et al., ); however, the impact on CR‐BSIs was varied. Using CHG agents to clean the skin before CVC insertion might be more effective than the PVP, however this is still proposed although there is low quality of evidence (Lai et al., ).…”

Uso de kits desechables para optimizar tiempos, movimientos y apego a protocolos de la terapia intravenosa

“…Un ejemplo de esto es la higiene de manos 11 , uso de apósito estéril transparente 12 , programas de educación establecidos en correcta instalación y mantenimiento de acceso vasculares [13][14] , uso de clorhexidina como antiséptico para la preparación de la piel [15][16][17] , uso de la barrera máxima durante la inserción y mantenimiento [18][19][20][21][22][23][24][25] , así como uso de listas de verificación (check-list) de procedimientos 26 .…”