title: A comparison of transparent adherent and dry sterile gauze dressings for long-term central catheters in patients undergoing bone marrow transplant.
abstract: Patients undergoing bone marrow transplant (BMT) are at great risk of infection and sepsis. Long-term central catheters (LTCCs), required for IV therapy, can be a portal of entry for infectious agents. This randomized, prospective study compared two types of catheter dressings in 98 patients undergoing BMT: a dry sterile gauze dressing (DSGD) changed daily and a transparent adherent dressing (TAD) changed every four days. Study outcomes included incidence and severity of local and systemic complications, patient assessment of comfort, and calculation of nursing time. One case of catheter-related infection occurred during the study. No significant differences existed between the two dressings in the incidence of positive skin cultures or local complications with the exception of skin irritation. The TAD caused less skin irritation, was preferred by patients, cost less, and required less nursing time. The findings indicate that TADs provide a safe, comfortable, and cost-effective alternative to DSGDs for patients undergoing BMT and receiving antibiotic support during aplasia.
authors.affiliation: Johns Hopkins Oncology Center (JHOC), Baltimore, MD.
authors.forename: J C
authors.initials: JC
authors.lastname: Shivnan
authors.forename: D
authors.initials: D
authors.lastname: McGuire
authors.forename: S
authors.initials: S
authors.lastname: Freedman
authors.forename: E
authors.initials: E
authors.lastname: Sharkazy
authors.forename: G
authors.initials: G
authors.lastname: Bosserman
authors.forename: E
authors.initials: E
authors.lastname: Larson
authors.forename: P
authors.initials: P
authors.lastname: Grouleff
mesh_terms: D000293:Adolescent; D000328:Adult; D001458:Bandages / Q000191:economics / Q000592:standards; D016026:Bone Marrow Transplantation / Q000451:nursing; D002405:Catheterization, Central Venous / Q000451:nursing; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings / Q000191:economics / Q000592:standards; D017060:Patient Satisfaction; D011446:Prospective Studies; D012867:Skin / Q000382:microbiology