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Randomized Controlled Trial Clinical Trial
Use of a chlorhexidine dressing to reduce microbial colonization of epidural catheters.
- J M Shapiro, E L Bond, and J K Garman.
- Department of Anesthesia, Sequoia Hospital, Redwood City, California 94062.
- Anesthesiology. 1990 Oct 1;73(4):625-31.
AbstractWe performed a prospective randomized controlled trial to assess the efficacy of a chlorhexidine dressing in reducing the microbial flora at the insertion site of epidural catheters. These catheters were used for acute pain management and were dressed either by a standardized method or with a CHX/urethane sponge composite. Microbial colonization of the catheter developed in 9 of 31 controls (29.0%) and 1 of 26 (3.8%) catheters with the CHX dressing (P less than 0.05%). The CHX dressing caused no adverse effects. The data suggest that delivery of antiseptic to the catheter wound site reduces catheter colonization with a possible reduction in the risk of epidural catheter-related infection.
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