{"title":"Nephrology Nurses and Infection Preventionists: Working Together to Improve Quality Outcomes.","authors":"Nichole Harward, Sharon Sumner, Katreena Merrill","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Tunneled central venous hemodialysis catheters have higher infection rates compared to other access devices. Recommendations for dressing changes of these catheters are to apply povidone iodine (PI) or a triple antibiotic ointment during catheter dressing changes. Growing evidence supports using chlorhexidine gluconate (CHG) dressings to prevent catheter-related bloodstream infections in patients with short-term central venous catheters. This quality improvement project studied whether dressing changes with PI ointment in tunneled dialysis catheters was equivalent to CHG-impregnated dressings in preventing vascular access infections (VAIs). Standardized education was required for all nurses and dialysis technicians working at four dialysis centers. VAIs were measured before and after the change. Results showed that CHG is equivalent to PI ointment in preventing VAI in tunneled dialysis catheters.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"50 6","pages":"479-482"},"PeriodicalIF":0.8000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nephrology Nursing Journal","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Tunneled central venous hemodialysis catheters have higher infection rates compared to other access devices. Recommendations for dressing changes of these catheters are to apply povidone iodine (PI) or a triple antibiotic ointment during catheter dressing changes. Growing evidence supports using chlorhexidine gluconate (CHG) dressings to prevent catheter-related bloodstream infections in patients with short-term central venous catheters. This quality improvement project studied whether dressing changes with PI ointment in tunneled dialysis catheters was equivalent to CHG-impregnated dressings in preventing vascular access infections (VAIs). Standardized education was required for all nurses and dialysis technicians working at four dialysis centers. VAIs were measured before and after the change. Results showed that CHG is equivalent to PI ointment in preventing VAI in tunneled dialysis catheters.
与其他通路设备相比，隧道式中心静脉血液透析导管的感染率较高。对这些导管的换药建议是在更换导管敷料时使用聚维酮碘（PI）或三联抗生素软膏。越来越多的证据表明，使用葡萄糖酸氯己定 (CHG) 敷料可预防短期中心静脉导管患者发生导管相关血流感染。该质量改进项目研究了在隧道式透析导管中使用 PI 软膏更换敷料与使用 CHG 浸渍敷料是否能有效预防血管通路感染 (VAI)。四个透析中心的所有护士和透析技术人员都必须接受标准化教育。对改变前后的 VAI 进行了测量。结果表明，在预防隧道式透析导管的 VAI 方面，CHG 与 PI 软膏的效果相当。
期刊介绍：
The Nephrology Nursing Journal is a refereed clinical and scientific resource that provides current information on wide variety of subjects to facilitate the practice of professional nephrology nursing. Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide.
The Nephrology Nursing Journal is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice. It also serves as a source for nonnephrology nurses. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.
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