Cholorhexidine, octenidine or povidone iodine for catheter related infections: A randomized controlled trial

BİLİR A., YELKEN B., Erkan A.

JOURNAL OF RESEARCH IN MEDICAL SCIENCES, cilt.18, sa.6, ss.510-512, 2013 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 6
  • Basım Tarihi: 2013
  • Dergi Adı: JOURNAL OF RESEARCH IN MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.510-512
  • Anahtar Kelimeler: Catheter infection, chlorhexidine, cutaneous, octenidine hydrochlorodine, povidone iodine, SITE CARE, CHLORHEXIDINE, PREVENTION, COLONIZATION, CULTURES
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Background: Protection of the catheter site by antimicrobial agents is one of the most important factors in the prevention of infection. Povidone iodine and chlorhexidine gluconate are the most common used agents for dressing. The purpose of this study was to compare the effects of povidone iodine, chlorhexidine gluconate and octenidine hydrochloride in preventing catheter related infections. Materials and Methods: Patients were randomized to receive; 4% chlorhexidine gluconate, 10% povidone iodine or octenidine hydrochlorodine for cutaneous antisepsis. Cultures were taken at the site surrounding catheter insertion and at the catheter hub after removal to help identify the source of microorganisms. Results: Catheter related sepsis was 10.5% in the povidone iodine and octenidine hydrochlorodine groups. Catheter related colonization was 26.3% in povidone iodine group and 21.5% in octenidine hydrochlorodine group. Conclusion: 4% chlorhexidine or octenidine hydrochlorodine for cutaneous disinfection before insertion of an intravascular device and for post-insertion site care can reduce the catheter related colonization.