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CPRN Systematic Review Central Line Dressings


Table 13 Summary of studies of transparent dressings change less than OW
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
Reynolds
1997
comp R 5.6 100 OP3000
Tg
2nd dail unpair
t test
no sign diff - no sign diff - - - critical ICU
patients
Brandt
1996
experimental R 22.3
21.7
101 OP 3000
G
OD
OW
z score 1 tail
K\Meier
Mann Whitney
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
Freiberger
1992
quasi experimental R NI 60 TgC
TgB
GB
GC4%
M W F
M W F
M W F
M W F
chi2
analysis of variance
- - - more often in TgB and GB - - boys CL site infected more
often than girls
p <0.044
Conly
1989
comp R 13.5
17.9
79 OP
G
2nd dail
2nd dail
chi2 t test
Fishers
MWhitney
p <0.01
G < T
- - - p <0.015
G < T
p <0.002
G < T
20 variables
to predict
CRS\CRI
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
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  
Shivnan
1991
experimental R NI 98 Tg
G
4th day
OD
chi2
tt estFisher
no sign diff no sign diff - - nil - cost comp
Tg<G
Vazquez
1984
eval Cons NI 100 TB 7 - 10 days percent 7.60% - - - - 1.00% 12 died cath not cultured
Key
TgC= Tegaderm with chlorliex;
GC4% = Gauze with choliex 4%;
OpICU= Opsite in ICU patients
Return to CPRN Systematic Review Central Line Dressings

Last Updated on 28/06/1999
By Roy Sneddon

Last revised: 01 Jan 1970   URL:http://www.joannabriggs.edu.au/cvl/clvtbl13.php
Copyright ©  The Joanna Briggs Institute 2006