Clinical observation and nursing of the silver ion antimicrobial dressings to prevent central venous catheter infection

Abstract

Objective To observe the clinical effect of the silver ion antimicrobial dressings to prevent central venous catheter infection, sum up the appropriate nursing interventions. Methods A total of 80patients with central venous catheters and press the admission order were randomly divided into two groups, the patients ofobservation group were treated with silver ion antimicrobial dressings to cover the puncture poin, the patients of control group were treated with sterile transparent film covering the puncture point.The incidence of central venous catheterrelated bloodstream infection(CVC-RI)and the positive rate of skin were compared. Results The cases of observation group had no CVC-RI, the positive rate of skinaroundpuncture was 7. 50%; the CVC-RI incidence of control group was 12. 50%, and the positive rate of skinaroundpuncture was 25. 00%, which were higher than those of control group (P<0. 05), there was no significant adverse reaction during the catheterization in observation group. Conclusions The silver ion antimicrobial dressings for central venous catheter,and with strict catheter care measurescan significantly reduce the incidence of catheter infection and reduce the positive rate of the surrounding skin,and the number of dressing changes can also be savings in treatment costs. Key words: Silver ion antimicrobial dressings; Central venous catheters; Catheter infection; Nursing