葡萄糖酸氯已定抗菌透明敷贴治疗PICC置管穿刺部位感染的效果

摘要

：Objective To investigate the chlorhexidine gluconate antimicrobial transparent dressing in treatment of infection at the puncture site of peripherally inserted central catheter(PICC). Methods 〓Totally 72 patients with puncture-site infection after PICC catheterization were assigned to the observation group and the control group, with 36 cases in each group. In the control group, the normal 3M transparent dressing was used fix the catheter after wet compression with 5% povidone-iodine solution. In the observation group, the hlorhexidine gluconate antimicrobial transparent dressing was used instead of normal transparent dressing. The efficacy of intervention was assessed. The healing time of puncture site and frequency of dressing change were observed and compared between two groups. Results 〓The efficacy of intervention on infection was 97.22%(35/36)in the observation group and 94.44%(34/36)in the control group, and the healing time of puncture site was(7.51±2.32)d in the observation group and(7.63±3.31)d in the control group, with no significant difference between two groups(P0.05). There was a reduced times of dressing change in the observation group than that in the control group(1.82±0.81 vs. 2.32±1.12, P0.05). Conclusion 〓The chlorhexidine gluconate antimicrobial transparent dressing is effective to relieve symptoms of infection at the puncture site of PICC and reduce the cost in dressing change.