title: Infection rates associated with total parenteral nutrition.
abstract: The use of central venous access devices is increasingly common within healthcare, and such devices carry an associated risk of infection. Additional risk reduction strategies need exploring to reduce avoidable infections. A prospective 12-month audit was performed on the use of 2% chlorhexidine gluconate transparent, antimicrobial dressing to cover the catheter exit site in patients receiving total parenteral nutrition. The results showed a decrease in catheter-related bloodstream infection (CRBSI) from eight cases to zero (P=0.057), making this film dressing a possible useful addition in the goal of zero avoidable CRBSIs within this high risk group of patients.
authors.affiliation: Doncaster & Bassetlaw NHS Foundation Trust, Doncaster, UK. maurice.madeo@dbh.nhs.uk
authors.forename: M
authors.initials: M
authors.lastname: Madeo
authors.forename: L
authors.initials: L
authors.lastname: Lowry
mesh_terms: D000368:Aged; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D001458:Bandages; D055499:Catheter-Related Infections / Q000453:epidemiology* / Q000517:prevention & control*; D002710:Chlorhexidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D005260:Female; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods*; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D011446:Prospective Studies; D018805:Sepsis / Q000453:epidemiology* / Q000517:prevention & control*
chemical_list: D000891:Anti-Infective Agents, Local; C010882:chlorhexidine gluconate; D002710:Chlorhexidine