title: Cholorhexidine, octenidine or povidone iodine for catheter related infections: A randomized controlled trial.
abstract: BACKGROUND
  Protection of the catheter site by antimicrobial agents is one of the most important factors in the prevention of infection. Povidone iodine and chlorhexidine gluconate are the most common used agents for dressing. The purpose of this study was to compare the effects of povidone iodine, chlorhexidine gluconate and octenidine hydrochloride in preventing catheter related infections.
  
  
  METHODS
  Patients were randomized to receive; 4% chlorhexidine gluconate, 10% povidone iodine or octenidine hydrochlorodine for cutaneous antisepsis. Cultures were taken at the site surrounding catheter insertion and at the catheter hub after removal to help identify the source of microorganisms.
  
  
  RESULTS
  Catheter related sepsis was 10.5% in the povidone iodine and octenidine hydrochlorodine groups. Catheter related colonization was 26.3% in povidone iodine group and 21.5% in octenidine hydrochlorodine group.
  
  
  CONCLUSIONS
  4% chlorhexidine or octenidine hydrochlorodine for cutaneous disinfection before insertion of an intravascular device and for post-insertion site care can reduce the catheter related colonization.
authors.affiliation: Department of Anaesthesiology and Reanimation, Eskişehir Osmangazi University, Medical Faculty, 26100 Eskişehir, Turkey.
authors.forename: Ayten
authors.initials: A
authors.lastname: Bilir
authors.forename: Birgül
authors.initials: B
authors.lastname: Yelken
authors.forename: Ayse
authors.initials: A
authors.lastname: Erkan
keywords: Catheter infection; chlorhexidine; cutaneous; octenidine hydrochlorodine; povidone iodine