بررسی تاثیر استفاده از پانسمان حاوی کلرهگزدین در میزان بروز عفونت خون ناشی از کاتتر مرکزی در بیماران با دسترسی ورید مرکزی
کد: G-1179
نویسندگان: فرزانه پرده شناس ℗, محمد چهکندی ©
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Introduction: Central venous catheterization is one of the most common procedures in Intensive Care Units (ICUs). One of the frequent complications of these catheters is central line-associated bloodstream infections (CLABSIs). Chlorhexidine gluconate (CHG) is a substance with antimicrobial properties that may reduce the incidence of these infections when added to the dressings covering the central lines. Therefore, the aim of this study is to Investigate the impact of using chlorhexidine gluconate-containing dressings in reducing the risk of CLABSIs. Methods and Materials: Initially, a comprehensive search was conducted using the PubMed and Magiran databases, and Google Scholar search engine, utilizing the keywords central line-associated bloodstream infections (CLABIs), Dressing, and Chlorhexidine Gluconate within 2014 to 2024, resulting in 39 articles. Articles that were most relevant to the current study's title were included, while unrelated articles were excluded from the review. Ultimately, 6 articles related to the subject were examined and analyzed. Results: In reviewing the studies conducted, two clinical trials and one cohort study suggested the use of dressings containing chlorhexidine to reduce CLABIs, while one clinical trial did not report any positive effects. Additionally, one study demonstrated the superiority of these dressings over transparent dressings, whereas another study found no difference in the use of these two types of dressings. Conclusion: Based on the results of the studies reviewed, it can be concluded that dressings containing CHG can be considered as one of the preventive methods for CLABIs alongside other measures. Further research is needed in the future to evaluate the cost-effectiveness of this method, as well as to investigate and study various types of chlorhexidine-containing dressings, such as transparent dressings, skin patches, and chlorhexidine-impregnated sponge dressings.
کلمات کلیدی
Central line-associated bloodstream infections (CLABIs), Dressing, Chlorhexidine Gluconate
