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Dressings for the central venous catheter to prevent infection in patients undergoing hematopoietic stem cell transplantation: a systematic review and meta-analysis

  • Renata Cristina de Campos Pereira SilveiraEmail author
  • Paula Elaine Diniz dos Reis
  • Elaine Barros Ferreira
  • Fernanda Titareli Merizio Martins Braga
  • Cristina Maria Galvão
  • Alexander Michael Clark
Review Article
  • 39 Downloads

Abstract

Purpose

To identify the most effective dressing for covering long-term central venous catheter exit site to prevent catheter-related infections and skin irritation in patients undergoing hematopoietic stem cell transplantation.

Methods

Systematic Review. The search was performed in the following electronic databases: CINAHL, Cochrane Library CENTRAL, EMBASE, LILACS, PubMed, Scopus, and Web of Science. Google Scholar was used for the gray literature search.

Results

Seven studies were included which tested different arrangements of dressings: sterilized gauze and adhesive tape with a transparent polyurethane film (n = 2), transparent polyurethane film with a different replacement interval frequency (n = 2), transparent polyurethane film with and without chlorhexidine released continuously by the dressing at the site of intravascular catheter insertion (n = 2), and dressings vs. no dressings (n = 1). The meta-analysis for catheter-related infection prevention showed no difference between type of dressing (RR 1.76, [95% CI 0.82; 3.75], I2 0%) and for the replacement frequency at different intervals (RR 1.04, [95% CI 0.67; 1.61], I2 0%). The meta-analysis for skin irritation evaluated the transparent polyurethane film replacement frequency and indicated that a longer dressing replacement interval (10 to 15 days) reduces the risk of developing this outcome (RR 0.71, 0.52; 0.96, 95% CI, I2 24%).

Conclusions

Regarding the type of the dressing, there is no evidence indicating the best dressing. Although there is no evidence available for the ideal replacement frequency, the risk to develop skin irritation is reduced in longer dressing replacements intervals.

Keywords

Central venous catheter Bandages Occlusive dressings Systematic review 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

520_2019_5065_MOESM1_ESM.pdf (222 kb)
ESM 1 (PDF 221 kb)
520_2019_5065_MOESM2_ESM.pdf (152 kb)
ESM 2 (PDF 151 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.General and Specialized Nursing Department, Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research DevelopmentUniversity of São PauloRibeirão PretoBrazil
  2. 2.Nursing Department, School of Health SciencesUniversity of BrasíliaBrasíliaBrazil
  3. 3.University of AlbertaEdmontonCanada

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