Contamination reduction during central venous catheterization

Crit Care Med. 1988 Feb;16(2):165-7. doi: 10.1097/00003246-198802000-00014.

Abstract

This study examined a simple technique for reducing contamination during catheterization of the internal jugular vein. Sixty patients were assigned randomly to receive either a traditional iodophor skin cleansing or an alcohol cleansing, followed by application of an iodophor-impregnated sterile film. In the cleansed with iodophor alone group, 83% of the anesthesiologists' glove tips were contaminated, and 13% of the catheter tips were contaminated. In contrast, in the group in which the sterile film was employed, contamination of gloves and catheters was virtually eliminated.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • 1-Propanol / pharmacology*
  • Catheterization, Central Venous*
  • Disinfection / methods*
  • Disinfection / standards
  • Gloves, Surgical
  • Humans
  • Iodophors
  • Occlusive Dressings
  • Povidone / analogs & derivatives*
  • Povidone-Iodine / pharmacology*
  • Skin / drug effects
  • Skin / microbiology*
  • Staphylococcus epidermidis / isolation & purification
  • Sterilization / methods*

Substances

  • Iodophors
  • Povidone-Iodine
  • 1-Propanol
  • Povidone