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Original Article
2013 Jan.-Feb.;21(Spec):47-51
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Alvisa Palese1
Federica Cescon2
Corresponding Author:
Alvisa Palese
Universit degli Studi di Udine
Viale Ungheria 20
33100 Udine, Italia
E-mail: alvisa.palese@uniud.it
48
Eficcia de iodopovidona a 10% de acordo com tempo de secagem antes da
insero do cateter intravenoso perifrico: resultados preliminares de um
estudo exploratrio quasi-experimental
Objetivo: investigar a eficcia da soluo iodopovidona a 10% sobre a reduo da contagem
microbiana no ponto de insero do Cateter Venoso Perifrico aps tempo de secagem de 30s
ou 2 min. Mtodo: desenho quase-experimental. Foram includos 53 pacientes no estudo: 25
foram expostos a 2min de secagem e 28 foram expostos a 30s de secagem. Resultados: Os
resultados preliminares no apresentaram diferenas na ocorrncia de contaminao entre os
pacientes que foram submetidos a 30s ou 2min de secagem aps desinfeco com soluo de
iodopovidona a 10%.
Descritores: Iodopovidona/Uso Teraputico; Desinfeco; Cateterismo Perifrico; Contagem
Microbiana.
Background
The Peripheral Intravascular Catheter (PIC) is
(4-6)
(4)
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49
Palese A, Cescon F.
After
having
obtained
written
informed
Results
(50/53,
94.3%)
collaborated
with
clinical
nurses
as indicated in Table 1.
P
value*
Patient characteristics
Age
0.35
Male
17 (60.7)
14 (56.0)
0.47
2 (7.1)
0 (-)
0.27
Cancer (yes)
2 (7.1)
1 (4.0)
0.54
Diabetes (yes)
3 (10.7)
3 (12.0)
0.60
Coagulopathies (yes)
14 (50.0)
10 (40.0)
0.32
3 (10.7)
2 (8.0)
0.55
2 (7.1)
5 (20.0)
0.16
27 (96.4)
23 (92.0)
0.45
16 (57.1)
16 (64.0)
0.61
Antecubital fossa
14 (50.0)
17 (68.0)
Forearm
11 (39.3)
8 (32.0)
Hand
3 (10.7)
0 (-)
such
as
age
and
gender,
recent
Patient collaboration
(yes)
PIC insertion
0.16
(continue...)
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50
Discussion
Table 1 - (continuation)
Veins approached
Cephalic vein
16 (57.1)
14 (56.0)
Basilic vein
8 (28.6)
7 (28.0)
Perforating vein
1 (3.6)
1 (4.0)
Dorsal vein
3 (10.7)
0 (-)
0 (-)
3 (12.0)
Median antebrachial
vein
PIC size
18 gauge
20 (71.4)
13 (52.0)
20 gauge
8 (28.6)
11 (44.0)
22 gauge
0 (-)
1 (4.0)
2 (7.1)
4 (16.0)
0.31
10 (35.7)
13 (52.0)
0.23
1 (3.6)
5 (20.0)
0.06
Aseptic technique
respected (yes)
Disinfection
with
10%
povidone-iodine:
Differences
of PIC sites
contaminated
(CFUs 15)
(T1-T0)
Exposed Group
30-s=28 (%)
Control
Group
2-m=25 (%)
P value
RR 1.49
17 (60.7)
10 (40.0)
(CI95% 0.87 to
2.54)
p = 0.13
13 (47.4)
7 (28.0)
RR 1.43
(CI95% 0.87 to
2.34)
4 (14.3)
3 (12.4)
p = 0.16
RR 1.10
Conclusions
(CI95% 0.54 to
2.20)
p = 0.80
51
Palese A, Cescon F.
in the occurrence of contamination have emerged
10. Grice EA, Segre JA. The skin micro biome. Nature
Acknowledgments
To
Dott.
Maurizio
Ruscio,
Beppina
Pontarolo
Nassaji-
Zavareh
M,
Ghorbani
R.
Peripheral
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