Study in influence of frequency of dressing change on PICC insertion site infection in neonates / 中国实用护理杂志

ABSTRACT

Objective To explore the relationship between frequency of dressing change and PICC insertion site infection in neonates. Methods A prospective study was undertaken. 95 neonates were randomized into 3 groups, group 1 changed dressing every 3 days, group 2 changed dressing every 5 days, group 3 changed dressing every 7 days. Insertion site infection was observed and underwent pathogenic detection,complications associated with dressing change were also observed in all the 3 groups. Results 31 neonates were randomized to group 1 ,there were 3(9.68%)episodes of insertion site infection,34 neonates were randomized to group 2,there were 2(5.88%)episodes of insertion site infection, 30 neonates were randomized to group 3, there were 5(16.67%)episodes of insertion site infection. Rates of insertion site infection did not differ in the 3 groups.8 strains of staphylococcus epidermidis(2 of them were methicillin resistant staphylococcus epidermidis)were founded in 10 neonates who developed insertion site infection,positive rate was 80%. Skin excoriation occurred in 4 of 31 neonates in group 1,no neonates in the other two groups developed skin excoriation. Conclusions We suggest change dressing of neonatal PICC every 7 days,replace dressing if the dressing becomes damp or loosened at any time.