COMPARISON OF TRANSPARENT POLYURETHANE FILM AND STERILE GAUZE AS DRESSING MATERIALS FOR CENTRAL VENOUS ACCESS

Ľubomíra Ježová, Katarína Žiaková, Radka Šerfelová
Institute of Nursing, Jessenius Faculty of Medicine, Martin, Comenius University, Bratislava, Slovakia

Korespondenční autor: Ľubomíra Ježová (jezova@jfmed.uniba.sk)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:12. 12. 2011
Accepted: 30. 5. 2012
Published online: 28. 6. 2012

Summary

Aim: The aim of our work was to detect differences in the use of semipermeable transparent film and sterile gauze in the incidence of infectious complications, tolerance to dressing material and dressing condition.

Methods: To file the enrolled 256 patients with an established central venous catheter admitted to the intensive care unit; the site of the central venous access of 128 patients was dressed with sterile gauze, and 128 patients with semipermeable film. We used the method of observation and the results were recorded in the research protocol during the period of central venous catheter use. In processing the empirical data, we used the method of inductive statistics.

Results: The results of statistical analysis show that the use of sterile gauze and semipermeable film incurred significant differences in the incidence of infectious complications. Statistically significant differences were observed in the durability of dressing and bandage skin irritation (p<0.05). Replacing sterile gauze was more frequent (989 times in 128 patients) than the replacement of semipermeable film (162 times in 128 patients). The cost of replacing sterile gauze was higher than the cost of replacing semipermeable film.

Conclusions: The results of the study showed significant differences in the use of semipermeable film and sterile gauze dressing. To use semipermeable film is more advantageous, on one hand in term of place protection from bacteria and fluid, on the other hand in term of visual inspection possibility as the film enables the skin to breathe. Finally usage of film is also economically more advantageous.

Keywords: central venous catheter; dressing materials; complications

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