Authors (including presenting author) :
Pang CY, Choi KH
Affiliation :
Department of Surgery, Caritas Medical Centre
Introduction :
Central venous catheter (CVC) is a device used to draw blood and give treatments such as blood transfusion, administration of intravenous fluid and medication. It is commonly inserted into large vein at the superior vena cava.
In United States, the Center for Disease Control (CDC, 2015) guidelines for the prevention of intravascular catheter-related infections strongly recommended (category 1A) that prepare clean skin with a >0.5% chlorhexidine preparation with alcohol before central venous catheter insertion and during dressing changes. There is no protocol for CVCs dressing in our department. There are various dressing practices among staff on CVCs dressing changing procedure.
CDC (2017) also recommended that adult patient to use the Chlorhexidine (CHG)-containing film dressings for reducing catheter-related bloodstream infection (CRBSI) or catheter-associated blood stream infection (CABSI) for the insertion site of short-term, non-tunneled central venous catheters protection (category 1A). The CHG-containing film dressing was used for catheters site dressing and it is recommended to change at least 7 days (category 1B). In our review of using CHG-containing film dressing as dressing material for CVC site, the dressing was needed to be replaced less than 7 days due to patient mobilization. Some modification was done to keep the dressing intact.
Objectives :
1. Standardized the CVCs site dressing procedure in surgical department.
2. Prevent intravascular catheter related infection among the patients who has CVC by using new dressing material.
3. Reduce the dressing changing frequency when comparing with the traditional dressing material for CVC site.
Methodology :
1. CHG-containing film dressing was introduced to ward and applied to patient who has CVC.
2. An elastic adhesive tape (Omnifix) is used to secure the edges of CHG-containing film dressing for maintain dressing intact until the recommended using period.
Result & Outcome :
1. Standardized the CVCs site dressing procedure in surgical department.
2. Prevent intravascular catheter related infection among the patients who has CVC by using new dressing material.
3. Reduce the dressing changing frequency when comparing with the traditional dressing material for CVC site.
