Efficacia della medicazione sterile trasparente rispetto a quella standard per il fissaggio del catetere venoso periferico (CVP) sull'incidenza delle flebiti. Trial randomizzato e controllato

Translated title of the contribution: Effectiveness of sterile transparent dressing than the standard for attaching peripheral venous catheter (CVP) on the incidence of phlebitis. randomized controlled trial

Cristiana Forni, Loretta Loro, Morena Tremosini, Carmela Trofa, Fabio D'Alessandro, Tania Sabattini, Federica Matino, Rossana Genco, Miguel Schiavone, Caterina Bombino, Sandra Mini, Laura Rocchegiani, Teresa Notarnicola, Daniela Capezzali, Rita Boschi, Orazio Gambino, Alfredo Amodeo, Elettra Pignotti, Enrichetta Zanotti

Research output: Contribution to journalArticle

Abstract

Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC), on the incidence of phlebitis. A randomized controlled trial. Introduction. The type of dressing could contribute to the incidence of phlebitis, infiltration and accidental removals but the results of the studies are contrasting and samples are limited. Aim. To compare the effectiveness of a transparent polyurethane sterile dressing on the rate of phlebitis associated to peripheral venous catheter (PVC) vs a non sterile sticking plaster in use in current practice (standard dressing). Design. Randomized controlled trial. Participants. 1061 PVCs (703 patients, adults and children) at a research orthopedic hospital in the north of Italy; 540 PVCs allocated to receive the sterile and 521 the standard dressing. Results. 96 PVCs were excluded for phlebitis, 48 (9.6%) in the sterile and 48 (10.1%) in the standard dressing group, RR 0.96 (95%CI 0.697 - 1.335). Accidental removal of the PVCs was more frequent with the sterile dressing (9.6% vs 6.3%) but the number of catheters removed without complications was larger in the standard dressing group (48.9% vs 54.9% P=0.0503). Eighty-five PVCs were replaced for detachment of the dressing (50, 9.2% sterile and 35, 6.7% standard dres- sing). The cheapest transparent sterile dressing costs 32 cents while the standard 9 cents. Conclusions. A sticking non sterile plasters is not influential on the rate of phlebitis and ensures an good fix of the PVC compared the transparent sterile dressing to of polyurethane film.

Original languageItalian
Pages (from-to)63-69
Number of pages7
JournalAssistenza infermieristica e ricerca : AIR
Volume31
Issue number2
DOIs
Publication statusPublished - 2012

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Phlebitis
Bandages
Catheters
Randomized Controlled Trials
Incidence
Polyvinyl Chloride
Polyurethanes
Italy
Orthopedics

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Efficacia della medicazione sterile trasparente rispetto a quella standard per il fissaggio del catetere venoso periferico (CVP) sull'incidenza delle flebiti. Trial randomizzato e controllato. / Forni, Cristiana; Loro, Loretta; Tremosini, Morena; Trofa, Carmela; D'Alessandro, Fabio; Sabattini, Tania; Matino, Federica; Genco, Rossana; Schiavone, Miguel; Bombino, Caterina; Mini, Sandra; Rocchegiani, Laura; Notarnicola, Teresa; Capezzali, Daniela; Boschi, Rita; Gambino, Orazio; Amodeo, Alfredo; Pignotti, Elettra; Zanotti, Enrichetta.

In: Assistenza infermieristica e ricerca : AIR, Vol. 31, No. 2, 2012, p. 63-69.

Research output: Contribution to journalArticle

Forni, C, Loro, L, Tremosini, M, Trofa, C, D'Alessandro, F, Sabattini, T, Matino, F, Genco, R, Schiavone, M, Bombino, C, Mini, S, Rocchegiani, L, Notarnicola, T, Capezzali, D, Boschi, R, Gambino, O, Amodeo, A, Pignotti, E & Zanotti, E 2012, 'Efficacia della medicazione sterile trasparente rispetto a quella standard per il fissaggio del catetere venoso periferico (CVP) sull'incidenza delle flebiti. Trial randomizzato e controllato', Assistenza infermieristica e ricerca : AIR, vol. 31, no. 2, pp. 63-69. https://doi.org/10.1702/1131.12467
Forni, Cristiana ; Loro, Loretta ; Tremosini, Morena ; Trofa, Carmela ; D'Alessandro, Fabio ; Sabattini, Tania ; Matino, Federica ; Genco, Rossana ; Schiavone, Miguel ; Bombino, Caterina ; Mini, Sandra ; Rocchegiani, Laura ; Notarnicola, Teresa ; Capezzali, Daniela ; Boschi, Rita ; Gambino, Orazio ; Amodeo, Alfredo ; Pignotti, Elettra ; Zanotti, Enrichetta. / Efficacia della medicazione sterile trasparente rispetto a quella standard per il fissaggio del catetere venoso periferico (CVP) sull'incidenza delle flebiti. Trial randomizzato e controllato. In: Assistenza infermieristica e ricerca : AIR. 2012 ; Vol. 31, No. 2. pp. 63-69.
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abstract = "Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC), on the incidence of phlebitis. A randomized controlled trial. Introduction. The type of dressing could contribute to the incidence of phlebitis, infiltration and accidental removals but the results of the studies are contrasting and samples are limited. Aim. To compare the effectiveness of a transparent polyurethane sterile dressing on the rate of phlebitis associated to peripheral venous catheter (PVC) vs a non sterile sticking plaster in use in current practice (standard dressing). Design. Randomized controlled trial. Participants. 1061 PVCs (703 patients, adults and children) at a research orthopedic hospital in the north of Italy; 540 PVCs allocated to receive the sterile and 521 the standard dressing. Results. 96 PVCs were excluded for phlebitis, 48 (9.6{\%}) in the sterile and 48 (10.1{\%}) in the standard dressing group, RR 0.96 (95{\%}CI 0.697 - 1.335). Accidental removal of the PVCs was more frequent with the sterile dressing (9.6{\%} vs 6.3{\%}) but the number of catheters removed without complications was larger in the standard dressing group (48.9{\%} vs 54.9{\%} P=0.0503). Eighty-five PVCs were replaced for detachment of the dressing (50, 9.2{\%} sterile and 35, 6.7{\%} standard dres- sing). The cheapest transparent sterile dressing costs 32 cents while the standard 9 cents. Conclusions. A sticking non sterile plasters is not influential on the rate of phlebitis and ensures an good fix of the PVC compared the transparent sterile dressing to of polyurethane film.",
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AU - Forni, Cristiana

AU - Loro, Loretta

AU - Tremosini, Morena

AU - Trofa, Carmela

AU - D'Alessandro, Fabio

AU - Sabattini, Tania

AU - Matino, Federica

AU - Genco, Rossana

AU - Schiavone, Miguel

AU - Bombino, Caterina

AU - Mini, Sandra

AU - Rocchegiani, Laura

AU - Notarnicola, Teresa

AU - Capezzali, Daniela

AU - Boschi, Rita

AU - Gambino, Orazio

AU - Amodeo, Alfredo

AU - Pignotti, Elettra

AU - Zanotti, Enrichetta

PY - 2012

Y1 - 2012

N2 - Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC), on the incidence of phlebitis. A randomized controlled trial. Introduction. The type of dressing could contribute to the incidence of phlebitis, infiltration and accidental removals but the results of the studies are contrasting and samples are limited. Aim. To compare the effectiveness of a transparent polyurethane sterile dressing on the rate of phlebitis associated to peripheral venous catheter (PVC) vs a non sterile sticking plaster in use in current practice (standard dressing). Design. Randomized controlled trial. Participants. 1061 PVCs (703 patients, adults and children) at a research orthopedic hospital in the north of Italy; 540 PVCs allocated to receive the sterile and 521 the standard dressing. Results. 96 PVCs were excluded for phlebitis, 48 (9.6%) in the sterile and 48 (10.1%) in the standard dressing group, RR 0.96 (95%CI 0.697 - 1.335). Accidental removal of the PVCs was more frequent with the sterile dressing (9.6% vs 6.3%) but the number of catheters removed without complications was larger in the standard dressing group (48.9% vs 54.9% P=0.0503). Eighty-five PVCs were replaced for detachment of the dressing (50, 9.2% sterile and 35, 6.7% standard dres- sing). The cheapest transparent sterile dressing costs 32 cents while the standard 9 cents. Conclusions. A sticking non sterile plasters is not influential on the rate of phlebitis and ensures an good fix of the PVC compared the transparent sterile dressing to of polyurethane film.

AB - Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC), on the incidence of phlebitis. A randomized controlled trial. Introduction. The type of dressing could contribute to the incidence of phlebitis, infiltration and accidental removals but the results of the studies are contrasting and samples are limited. Aim. To compare the effectiveness of a transparent polyurethane sterile dressing on the rate of phlebitis associated to peripheral venous catheter (PVC) vs a non sterile sticking plaster in use in current practice (standard dressing). Design. Randomized controlled trial. Participants. 1061 PVCs (703 patients, adults and children) at a research orthopedic hospital in the north of Italy; 540 PVCs allocated to receive the sterile and 521 the standard dressing. Results. 96 PVCs were excluded for phlebitis, 48 (9.6%) in the sterile and 48 (10.1%) in the standard dressing group, RR 0.96 (95%CI 0.697 - 1.335). Accidental removal of the PVCs was more frequent with the sterile dressing (9.6% vs 6.3%) but the number of catheters removed without complications was larger in the standard dressing group (48.9% vs 54.9% P=0.0503). Eighty-five PVCs were replaced for detachment of the dressing (50, 9.2% sterile and 35, 6.7% standard dres- sing). The cheapest transparent sterile dressing costs 32 cents while the standard 9 cents. Conclusions. A sticking non sterile plasters is not influential on the rate of phlebitis and ensures an good fix of the PVC compared the transparent sterile dressing to of polyurethane film.

KW - Accidental removal

KW - Dressing

KW - Peripheral venous catheters

KW - Phlebitis

KW - Randomized controlled trial

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