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ABSTRACT 157

TRANSPARENT DRESSING VERSUS IODINE PLUS DRESSING AND HIGH-PERMEABILITY DRESSING IN PEDIATRIC CENTRAL LINE MAINTENANCE

A RANDOMIZE CONTROLLED STUDY

Gu, Y.1; Yuan, J.2; Hu, J.2; Gong, W.J.2

Pediatric Critical Care Medicine: May 2014 - Volume 15 - Issue 4_suppl - p 40
doi: 10.1097/01.pcc.0000448883.64255.1c
Abstracts of the 7th World Congress on Pediatric Critical Care
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1nursing department, Children’s Hospital of Fudan University, Shanghai, China 2PICU, Children’s Hospital of Fudan University, Shanghai, China

Background and aims: Dressing choice to use is the priority procedure of pediatric central line maintenance. This study is to compare the clinical effect of transparent dressing, iodine plus dressing and high-permeability (HP) dressing.

Aims: This study is to compare the clinical effect of transparent dressing, iodine plus dressing and high-permeability (HP) dressing.

Methods: This randomized non-blinded equivalence trial was did in PICU of a tertiary teaching hospital. 61 patients with Central line were selected through non-probability sampling, and were randomized distributed into three groups: transparent dressing group, iodine plus dressing group and HP dressing group. Each group used the same type dressing during research days. Observe the CVC insert site and symptoms of CVC-RI everyday; CVC insertion site bacterial culture was done on the 7th day. Ethical approval was obtained from the Children’s Hospital of Fudan University Research and Ethics Committee.

Results: There is no CVC-RI happen in three groups; transparent dressing has the highest insertion site infection rate, but no significant difference compared with the other two groups (P>0.05). There is significant difference of bacterial colonization rate of CVC insertion site among three groups: iodine plus dressing possess lower than HP dressing (P<0.017) and transparent dressing (P=0.019).

Conclusions: Iodine plus dressing has the best effect in reducing the growth of bacterial colonization in central line of pediatric patients; HP dressing does less better than iodine plus dressing and with powerful sticky; transparent dressing has poor effect in reducing the growth of bacterial colonization and was not recommended in pediatric CVCs maintenance.

©2014The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies