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The purpose of this study is to compare the use of chlorhexidine-gel-impregnated dressing and the transparent polyurethane film dressing as coverage of the site of insertion of central venous catheter, in the evaluation of catheter colonization in critically ill adults patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| chlorhexidine-gel-impregnated dressing | Experimental | Chlorhexidine Patients receive a chlorhexidine-gel-impregnated dressing ( 3M Tegaderm CHG IV securement dressing™ ) after insertion of central venous catheter |
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| Polyurethane film dressing | Active Comparator | Polyurethane film dressing Patients receive a transparent polyurethane film dressing (3M Tegaderm IV dressing™) after insertion of central venous catheter. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| chlorhexidine-gel-impregnated dressing | Device | Chlorhexidine Patients receive a chlorhexidine-gel-impregnated dressing ( 3M Tegaderm CHG IV securement dressing™ ) after insertion of central venous catheter |
| Measure | Description | Time Frame |
|---|---|---|
| Catheter Colonization | With aseptic technique, the central venous catheter will be withdrawn and a 5 centimeters distal portion of the catheter will be cut and conditioned in sterile test tube and sent to the microbiology laboratory. It will be considered a Catheter Colonization a significant growth of one or more microorganism in a semiquantitative culture of the catheter tip. It is according to the Clinical Practice Guidelines for the Diagnosis and management of Intravascular Catheter- Related Infection: 2009 Update by the Infectious Diseases Society of America | Participants will be followed from placement until the withdraw of the central venous catheter, an expected average of 3 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Microbiological Exit site Infection | With aseptic technique, a swab will be collected before removal of central venous catheter, the swab will be moistened with sterile saline and rolled for about 2 cm around the exit site. The material will be conditioned in sterile test tube and sent to the microbiology laboratory. It will be considered a Microbiological Exit Site Infection the exudate at catheter exit site yields a microorganism. According to Clinical Practice Guideline for Diagnosis and Management of intravascular Catheter-Related Infection: 2009 Update by the Infectious Diseases Society of America |
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Inclusion Criteria:
Critically ill patients hospitalized carrying a short-term central venous catheter
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amanda Salles Margatho, PhD student | University of São Paulo at Ribeirão Preto College of Nursing | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Hospital of Ribeirão Preto Medical School (HCFMRP-USP) | Ribeirão Preto | São Paulo | 14048-900 | Brazil |
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| ID | Term |
|---|---|
| D055499 | Catheter-Related Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
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| Polyurethane film dressing | Device | Polyurethane film dressing Patients receive a transparent polyurethane film dressing (3M Tegaderm IV dressing™) after insertion of central venous catheter. |
|
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| Participants will be followed from placement until the withdraw of central venous catheter, an expected average of 3 weeks |
| Clinical Exit Site Infection | Erythema, induration, and/or tenderness within 2 cm of the catheter exit site, according to Clinical Practice Guidelines for the diagnosis and management of intravascular Catheter-Related Infection: 2009 Update by the infectious diseases Society of America. | Participants will be followed from placement until the withdraw of central venous catheter, an expected average of 3 weeks |