Study in influence of frequency of dressing change on PICC insertion site infection in neonates
10.3760/cma.j.issn.1672-7088.2010.08.066
- VernacularTitle:更换敷料不同频率对新生儿PICC导管穿刺口感染的影响
- Author:
Zhenzhu LIN
- Publication Type:Journal Article
- Keywords:
Neonate;
PICC;
Dressing change;
Insertion site infection
- From:
Chinese Journal of Practical Nursing
2010;26(23):49-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between frequency of dressing change and PICC insertion site infection in neonates. Methods A prospective study was undertaken. 95 neonates were randomized into 3 groups, group 1 changed dressing every 3 days, group 2 changed dressing every 5 days, group 3 changed dressing every 7 days. Insertion site infection was observed and underwent pathogenic detection,complications associated with dressing change were also observed in all the 3 groups. Results 31 neonates were randomized to group 1 ,there were 3(9.68%)episodes of insertion site infection,34 neonates were randomized to group 2,there were 2(5.88%)episodes of insertion site infection, 30 neonates were randomized to group 3, there were 5(16.67%)episodes of insertion site infection. Rates of insertion site infection did not differ in the 3 groups.8 strains of staphylococcus epidermidis(2 of them were methicillin resistant staphylococcus epidermidis)were founded in 10 neonates who developed insertion site infection,positive rate was 80%. Skin excoriation occurred in 4 of 31 neonates in group 1,no neonates in the other two groups developed skin excoriation. Conclusions We suggest change dressing of neonatal PICC every 7 days,replace dressing if the dressing becomes damp or loosened at any time.
