Abstract

RODRIGUEZ CALERO, Miguel Ángel  and  GRUPO DE TRABAJO PARA EL ESTUDIO DEL CUIDADO DEL ACCESO VASCULAR CON ANTISEPTICOS (ECAVA) et al. Antiseptics for catheter-related infection prevention: systematic review. Index Enferm [online]. 2015, vol.24, n.4, pp.270-274. ISSN 1699-5988.  https://dx.doi.org/10.4321/S1132-12962015000300018.

Objective: to establish which the most appropriate antiseptic solution is to prevent catheter-related infections when used previous to catheter insertion and continuous skin care. Methods: systematic review. Randomized controlled trials in Spanish, English, Portuguese and Catalonian languages published from 2000-2013, regarding antiseptic solutions for skin care previous to insertion or during catheter site care in adult hospitalized patients were included. Dialysis or tunelized catheters, antiseptic-coated catheters or dressings, burned and immunosuppressed populations were excluded. Initial selection included title and abstract. CASPe and JADAD scales were later used. 6 independent reviewers carried out a blind, peer review analysis. Results: 77 documents fit inclusion criteria, 6 trials were selected after critic review. Homogeneity criteria were insufficient to carry out a meta-analysis. Conclusions: few quality trials have been published during the last 10 years, not allowing guidelines recommendations update. Some evidence points to chlorhexidine alcohol-based solutions as the most suitable agents for catheter care.

Keywords : Antisepsis; Catheterization; Venous catheterization; Catheter-related infections.