Contamination reduction during central venous catheterization.
This study examined a simple technique for reducing contamination during catheterization of the internal jugular vein. Sixty patients were assigned randomly to receive either a traditional iodophor skin cleansing or an alcohol cleansing, followed by application of an iodophor-impregnated sterile film. In the cleansed with iodophor alone group, 83% of the anesthesiologists' glove tips were contaminated, and 13% of the catheter tips were contaminated. In contrast, in the group in which the sterile film was employed, contamination of gloves and catheters was virtually eliminated.
Levy
J H
JH
Division of Cardiothoracic Anesthesia, Emory Clinic, Atlanta, GA.
Nagle
D M
DM
Curling
P E
PE
Waller
J L
JL
Kopel
M
M
Tobia
V
V
D000433:1-Propanol / Q000494:pharmacology*; D002405:Catheterization, Central Venous; D004203:Disinfection / Q000379:methods* / Q000592:standards; D005932:Gloves, Surgical; D006801:Humans; D007466:Iodophors; D009779:Occlusive Dressings; D011205:Povidone / Q000031:analogs & derivatives*; D011206:Povidone-Iodine / Q000494:pharmacology*; D012867:Skin / Q000187:drug effects / Q000382:microbiology*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013242:Sterilization / Q000379:methods*
D007466:Iodophors; D011206:Povidone-Iodine; D000433:1-Propanol; D011205:Povidone