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KMID : 1031020170230010055
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Quality Improvement in Health Care
2017 Volume.23 No. 1 p.55 ~ p.67
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The Efficacy of Chlorhexidine in Hemodialysis Vascular Access Device Disinfection
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Yang Ji-Hyun
Yu Young-Mi
Yu Min-Gyeong
Moon Sung-Mi
Park Sue-Jean
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Abstract
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Purpose:The purpose of this study was to apply the disinfection method using chlorhexidine in practice on disinfection of vascular access for hemodialysis.
Methods: This study was designed as a randomized controlled trial for examining effectiveness on infection of the vascular access device for hemodialysis when using chlorhexidine and betadine/alcohol. One-hundred-thirty study participants were separated into two groups randomly. Infection signs of the vascular access device for hemodialysis were observed and recorded before disinfection on vascular access device.
Result: Before the study, there was no difference between the experimental group (chlorhexidine group) and the control group (betadine/alcohol group) in general characteristics and hematological index. Incidence of infection rate of chlorhexidine group was 0 percent and the betadine/alcohol group was 1.5 percent. There was no significant difference between the two groups.
Conclusion: This study examined the effectiveness of prevention of infection with the disinfection method using chlorhexidine and betadine/alcohol. The disinfection method using chlorhexidine is considered an effective and alternative method of betadine/alcohol.
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KEYWORD
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Hemodialysis, Chlorhexidine, Disinfection, Vascular access device
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