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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
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Chlorhexidine gluconate transparent dressing does not decrease central line-associated bloodstream infection in

Kunrong Yu1, Meishan Lu2, Yanling Meng3

  • 1Department of Pulmonary and Critical Care Medicine Ward, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

International Journal of Nursing Practice
|October 22, 2019
PubMed
Summary
This summary is machine-generated.

Chlorhexidine gluconate transparent dressings did not reduce central line-associated bloodstream infections but did lower dressing change frequency, potentially saving nursing time. Further research on infection control is warranted.

Keywords:
central line-associated bloodstream infectionschlorhexidinecritical caredressingnursing

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Area of Science:

  • Infection Control
  • Medical Device Technology
  • Clinical Trials

Background:

  • Central line-associated bloodstream infections (CLABSIs) increase mortality and healthcare costs.
  • Optimal dressing strategies for CLABSI prevention require further investigation.

Purpose of the Study:

  • To compare the efficacy of chlorhexidine gluconate transparent dressings versus standard dressings in preventing CLABSIs.

Main Methods:

  • A randomized, nonblinded, controlled trial involving 474 patients.
  • Central lines were allocated to either chlorhexidine gluconate transparent dressing (n=259) or standard dressing (n=215).
  • CLABSI rates were the primary outcome measure.

Main Results:

  • No statistically significant difference in overall CLABSI rates between the two groups.
  • Chlorhexidine gluconate transparent dressings significantly reduced the frequency of dressing changes compared to standard dressings.
  • Gram-negative bacteria were the predominant pathogens (57.2%) in CLABSI episodes.

Conclusions:

  • Chlorhexidine gluconate transparent dressings do not reduce CLABSI rates.
  • These dressings may offer benefits by reducing dressing change frequency, potentially optimizing nursing time.
  • The findings highlight the need for continued research into effective CLABSI prevention methods.