Evaluación de la efectividad y satisfacción del apósito con Gluconato de Clorhexidina 3M™ Tegaderm™ en el cuidado del catéter central tunelizado para hemodiálisis

Abstract

Introduction: There are multiple methods and materials used for handling the insertion hole of the central venous catheter tunneled for hemodialysis, in order to prevent infection associated with their use. The aim of this study is to analyze the use of 3M™ Tegaderm™ CHG dressing with respect to the dressing formed by gauze and tape in the cure of insertion hole of the tunneled hemodialysis catheter. Material and methods: A prospective study for 32 weeks was conducted, in which 9 patients with central venous catheter tunneled were included. Data on the state of: catheter insertion hole, tunnel, neighboring area, applicability of the material, patient satisfaction, perception of professional and costs were collected. Results: No significant difference in efficacy for the prevention of infections between the two dressings was found. In the analysis of satisfaction a greater perception of safety with the use of the dressing with chlorhexidine was observed as well as a reduction of cost of the technique. Discussion: Based on cost, patient satisfaction and perception of the nursing staff responsible for the technique, the dressing with chlorhexidine gluconate is a good alternative for the cure of insertion hole of the tunneled hemodialysis catheter.