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The Incidences of Catheter Colonization and Central Line-Associated Bloodstream Infection According to Tegaderm vs. Chlorhexidine Gluconate (CHG)-Tegaderm Dressing
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Eunji Kim, Haejung Lee
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J Korean Acad Nurs 2020;50(4):541-553. Published online August 31, 2020
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DOI: https://doi.org/10.4040/jkan.19215
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 Abstract
 PDF
- Purpose
In spite of the recent application of a general infection control method, central line-associated infections is still relatively high in Korea. Central line bundle with Chlorhexidine gluconate (CHG) tegaderm dressing was reported to be effective in reducing catheter colonization and central line-associated bloodstream infections (CLABSI). Therefore, this study aimed to examine the incidences of catheter colonization occurrence and CLABSI while using Tegaderm vs. CHG Tegaderm dressings.
Methods
We used a descriptive design. 400 patients who had central venous catheters were selected from four hospitals in the Korean National Healthcare-associated Infections Surveillance System. Of all subjects, 200 used Tegaderm TM (Tegaderm group), and the remaining 200 used CHG Tegaderm (CHG Tegaderm group) dressing at the catheter insertion site. Data were analyzed using the c 2 test or Fisher’s exact test, t-test, and logistic regression analysis using SPSS WIN 21.0.
Results
In the Tegaderm and CHG Tegaderm groups, CLABSI incidences were 5.89 and 1.79 per 1,000 catheter-days, catheter colonization incidences were 3.93 and 1.43 per 1,000 catheter-days, and central line bundle compliance rates were 26.0% and 49.0%, respectively. Catheter colonization risk factors were ‘reinsertion after failure’ and ‘Tegaderm dressing’ at the central line insertion site. CLABSI risk factors were ‘incomplete performance of 7 central line bundle items’ and ‘Tegaderm dressing’ at the central line insertion site.
Conclusion
A further prospective study is needed to examine the effects of central line bundle with CHG Tegaderm dressing, avoiding central line reinsertion after failure, and improving the bundle compliance in reducing catheter colonization and CLABSI.
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Citations
Citations to this article as recorded by  - Practice guideline on the prevention and treatment of central line-associated bloodstream infection: Part 2 – Treatment
Wei Fang, Bo Hu, Fen Liu, Jiao Liu, Xiuling Shang, Changsong Wang, Xianghong Yang, Sheng Zhang, Aijun Pan, Jinglun Liu, Ling Liu, Yuetian Yu, Xiaoqing Li, Bin Ouyang, Yan Kang, Xiangdong Guan, Dechang Chen
Journal of Intensive Medicine.2026;[Epub] CrossRef - Development and Effectiveness of a Central Venous Catheter Management Education Program for Nurses in Hematology-Oncology Wards
Soohee Park, Jihyun Kim
Nursing: Research and Reviews.2026; Volume 16: 1. CrossRef - Effects of organizational and individual factors on nurses’ practice of central line-associated bloodstream infection prevention
Min Hee Kim, Jeong Sil Choi
American Journal of Infection Control.2024; 52(4): 443. CrossRef - Nurse-led intervention to improve oral mucosal health of intubated patients in the intensive care unit: A prospective study
Ching-Ching Lin, Jen-Jiuan Liaw, Chung-Hsing Li, Li-Chin Chen, Chin-Yen Han
American Journal of Infection Control.2024; 52(8): 900. CrossRef - Evidence-based care combined with chlorhexidine gluconate antimicrobial dressing in the prevention of peritoneal dialysis catheter-associated infections
Zuping Wang, Zhang Lin, Fayiza Aikelamu, Gulixian Tuerhong
Materials Express.2024; 14(3): 491. CrossRef - Risk Factors and Prevention of Central Venous Catheter-Related Bloodstream Infection in Intensive Care Unit
文慧 刘
Advances in Clinical Medicine.2022; 12(04): 3487. CrossRef
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