Shower and No-Dressing Technique for Tunneled Central Venous Hemodialysis Catheters: a Quality Improvement Initiative.
Nephrology Nursing Journal Journal of The American Nephrology Nurses Association(2014)
Abstract
Self-care practices and quality-of-life nuances juxtaposed our tunneled hemodialysis central venous catheter (CVC) protocols. Despite our advice, individuals with CVCs were showering. As a quality improvement initiative, we compared the standard CVC dressing practices to the "shower and no-dressing" technique. After 1380 catheter months (n = 119) infection rates were 0.31 events per 1000 catheter days. The "shower and no-dressing" technique appears to be a safe CVC dressing option with improved quality of life, no increase in infection rates, and cost-effectiveness.
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Key words
Central venous catheters,catheter-related bloodstream infections,patient safety,sterilization,dressings,continuous quality improvement
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