Several studies have evaluated how to prevent CVC dialysis infection. One of these studies is that of Rickard & Ray-Barruel (2009) who performed a review of 11 dialysis CVC dressing infection-control practices. The assessment revealed that the handling of the dressing is very important in infection control especially in avoiding the spread of bacteria from an unknown colony. The study observed that catheter dressings treated with chlorhexidine have a 52% reduction in bacterial infections as compared to other dressings treated with alcohol. Furthermore, this type of dressing is able to avoid colonization of the bacteria in infected areas by about 40% (Rickard & Ray-Barruel, 2009).
Gilles and colleagues performed a Cochrane systematic review relating to central venous line dressings that was first published in 2003, updated and republished in 2010, six studies were assessed, providing four central venous line dressing comparisons. In the analysis for the highly permeable transparent polyurethane (HPTP) dressings compared with gauze and tape, results showed that there were no significant differences in the primary outcomes of catheter related blood stream infection (CRBSI) or exit site infection or tunnel infection. There were a few more events (CRBSI and exit …show more content…
After a series of discussions with the Manager of the dialysis unit I was able to convince her to submit the proposed policy for CVC maintenance and dressing change in hemodialysis patients. The policy is developed with assistance from the manager of the dialysis unit. The guidelines were obtained from a preexisting document but modified to the hospital’s protocol
Provide a copy of the documented protocol, algorithm, or guideline and empirical reference
Gilles and colleagues performed a Cochrane systematic review relating to central venous line dressings that was first published in 2003, updated and republished in 2010, six studies were assessed, providing four central venous line dressing comparisons. In the analysis for the highly permeable transparent polyurethane (HPTP) dressings compared with gauze and tape, results showed that there were no significant differences in the primary outcomes of catheter related blood stream infection (CRBSI) or exit site infection or tunnel infection. There were a few more events (CRBSI and exit …show more content…
After a series of discussions with the Manager of the dialysis unit I was able to convince her to submit the proposed policy for CVC maintenance and dressing change in hemodialysis patients. The policy is developed with assistance from the manager of the dialysis unit. The guidelines were obtained from a preexisting document but modified to the hospital’s protocol
Provide a copy of the documented protocol, algorithm, or guideline and empirical reference