Analysis of exit site care on IV antibiotic use in facilities using electrolytically produced sodium hypochlorite: a pilot retrospective study.
In a retrospective survey of 226 dialysis facilities, the present study compared the effectiveness of topical disinfection with electrolytically produced sodium hypochlorite (ESH) and povidone iodine in preventing central venous catheter-related infections by tracking intravenous (IV) antibiotic administration. In patients undergoing hemodialysis, 18.1% of patients in ESH facilities and 19.2% of patients in povidone iodine facilities were administered IV antibiotics one or more times during the six-month study (p = 0.09). These findings suggest that ESH and povidone iodine are comparable in effectiveness for exit site care in patients dialyzing with central venous catheters.
DaVita Clinical Research, Minneapolis, MN, USA. Steve.wilson@davita.com
Steve
S
Wilson
Amy
A
Young
D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D004202:Disinfectants / Q000008:administration & dosage*; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods; D007239:Infections / Q000453:epidemiology; D007262:Infusions, Intravenous; D010865:Pilot Projects; D011446:Prospective Studies; D012973:Sodium Hypochlorite / Q000008:administration & dosage*
D000900:Anti-Bacterial Agents; D004202:Disinfectants; D012973:Sodium Hypochlorite