• DüzkayaDuygu SönmezDSDuygu Sönmez Düzkaya is the director of nursing services and a nurse educator, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey. dygsnmz@hotmail.com dygsnmz@istanbul.edu.tr.Nejla Canbulat Sahiner is an associate pro, Nejla Canbulat Sahiner, Gülzade Uysal, Tülay Yakut, and Agop Çitak.
• Duygu Sönmez Düzkaya is the director of nursing services and a nurse educator, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey. dygsnmz@hotmail.com dygsnmz@istanbul.edu.tr.
• Crit Care Nurse. 2016 Dec 1; 36 (6): e1-e7.

BackgroundBloodstream infections related to use of catheters are associated with increased morbidity and mortality rates, prolonged hospital lengths of stay, and increased medical costs.ObjectivesTo compare the effectiveness of chlorhexidine-impregnated dressings with that of standard dressings in preventing catheter-related bloodstream infections.MethodsA total of 100 children were randomly divided into 2 groups of 50 each: a chlorhexidine group and a standard group. Patient care was provided in accordance with prevention bundles. Patients were followed up for development of catheter-related bloodstream infections.ResultsCatheter colonization occurred in 4 patients in the standard group (8%) and in 1 patient in the chlorhexidine group (2%). Catheter-related bloodstream infections occurred in 5 patients in the standard group (10%) and in 1 patient in the chlorhexidine group (2%). Although more patients in the standard group had catheter-related bloodstream infections, the difference in infection rates between the 2 groups was not significant (P = .07).ConclusionsUse of chlorhexidine-impregnated dressings reduced rates of catheter-related bloodstream infections, contamination, colonization, and local catheter infection in a pediatric intensive care unit but was not significantly better than use of standard dressings.©2016 American Association of Critical-Care Nurses.

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