Abstracts of the 7th World Congress on Pediatric Critical Care
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.