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CPRN Systematic Review Central Line Dressings
| Table 12 |
Summary of studies
of transparent dressings change of Once a Week |
| Author |
Study
type |
Study alloc |
Mean duration
|
Study size |
Dress
type |
Dress change |
Analysis
method |
Insert site
culture |
Blood culture |
Catheter
tip culture |
Local inflam |
CRS |
CRI |
Other |
Brandt
1996 |
experimental |
R |
22.3
21.7 |
101 |
OP 3000
G |
OW
OD |
z score 1
tail
K\Meier
MWhitney |
no sign diff |
no sign diff |
no sign diff |
- |
no sign diff |
- |
cost comp
OP3000<G |
Engervall
1995 |
eval |
R |
39.5
46.0 |
32 |
Tg |
OW
TW |
Fishers
Log Rank
K\Meier |
p <0.07
TW < OW |
- |
TW < OW
p <0.05 |
- |
p <0.08
TW <
OW |
no sign |
extra dress
TW<OAW
p <0.08 |
Young
1988 |
comp |
5 where nursed |
NI |
168
|
OPICU
OP
OP
G |
TW
OW
O 10 dys
3W |
chi2
Yates
T test
|
- |
no sign diff |
- |
no sign diff |
no sign diff |
|
ICU pts OP
ward G
gp diff
P <0.0005 |
Lawson
1986 |
comp |
R |
NI |
365 |
TgG
G |
OW
3 x a wk |
T test
chi2
Fishers |
- |
- |
- |
-
no sign diff - |
-
-
no sign |
- |
gps sign
different diagnosis |
Powell
1985 |
comp |
R |
NI |
435 |
OP
OPB
OPB
GB |
OW
OW
M W F
M W F |
Fisher |
- |
- |
- |
- |
no sign diff |
no sign diff
|
|
Nehme
1984 |
comp
|
R |
NI |
187 |
OP
GB |
OW
TW
|
chi2 |
- |
* |
* |
- |
* |
0.34%
0.63% |
cost comp
OP<GB
p <0.89 |
Palidar
1982 |
comp |
All |
17.8 |
32 |
OP
G |
OW
TW |
Percent |
- |
- |
- |
- |
- |
1.00%
0.60% |
cost comp
OP<G |
Powell
1982 |
comp |
R |
24.0
22.0 |
261 |
OP
GB |
OW
3W |
chi2 |
- |
- |
- |
- |
no sign diff |
no sign |
|
Wheeler
1986 |
comp |
NI |
14.5
16.4 |
63 |
T
G |
OW
3 per wk |
percent |
- |
- |
- |
- |
- |
T - 0%
G- 4.25% |
cost comp
similar |
Willie
1993 |
clinical
trial |
R |
NI |
101 |
OP
OP3000 |
OW |
MHaensl
no diff |
- |
- |
- |
- |
3.79%
1.35% |
- |
|
KEY
OW=once a week;
OD= once daily,
TW= twice weekly;
O10dys= once every 10 days;
3W=three times a week;
MWF= Monday, Wednesday& Friday;
R=random;
NI= not identified;
OP= opsite;
G= gauze;
Tg= Tegaderm;
TgG = Tegaderm with gauze
OPB= opsite wi |
Return to CPRN Systematic Review Central Line
Dressings
Last Updated on 28/06/1999
By Roy Sneddon
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