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KMID : 1039620160060060695
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Korean Journal of Family Practice
2016 Volume.6 No. 6 p.695 ~ p.698
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A Preliminary Study for the Standardization of Central Venous Catheter Dressing Methods in Terminal Cancer Patient
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Lee Kyung-Na
Choi Youn-Seon
Kim Jung-Eun
Kim E-Yeon
Lee Myung-Yun
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Abstract
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Background: Central venous catheter (CVC) has been increasingly used in patients with terminal cancer. Dressing is important to prevent CVC-related infections (CRIs). However, only few generally accepted standard protocols consider palliative care feasible. This study compared CRI rates between the previous and standardized dressing methods in patients with terminal cancer.
Methods: We conducted a retrospective intervention to reduce the incidence of CRI in a hospice ward of the Korea University Guro Hospital. The interventions consisted of producing Centers for Disease Control guideline-based protocols for CVC dressing and education for medical providers. Among patients who had a CVC, 59 patients were enrolled in this study. We assessed and compared indicators such as fever and blood culture results, and recorded the number of CRI cases.
Results: To compare between preinterventional and interventional periods, the CRI rates were 7.58 and 3.45 per 1,000 catheter-days, respectively. However, no statistically significant difference in CRI rate was found between the dressing protocols (P=0.526).
Conclusion: Despite no significant difference in the CRI rate, CVC maintenance data increased. More prospective studies on the efficacy of standard dressing protocols should be performed for terminal cancer patients.
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KEYWORD
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Central Venous Catheters, Catheter-Related Infections/Microbiology, Palliative Care, Catheter-Related Infections/Prevent and Control
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