| Abstrakt: |
The purpose of the study was to compare the efficacy of 10 povidone-iodine with that of 0.5 chlorhexidine gluconate in 70 isopropyl alcohol for the prevention of peripheral intravenous catheter colonization in neonates. This was a multicenter, nonrandomized prospective study in a tertiary neonatal intensive care setting in which povidone-iodine and chlorhexidine gluconate were each used as antiseptic skin preparations over sequential 6-month periods. During the first 6 months of the study when povidoneiodine was in use 9.3 (38 of 408) of catheters were colonized. During the second 6 months of the study when chlorhexidine gluconate was in use, catheter colonization occurred in 4.7 (20 of 418, P= 0.01). Catheter-related bacteremia occurred during only 0.2 (2 of 826) of all catheterizations. Heavy skin colonization before catheter insertion (relative risk, 3.6; 95 confidence interval, 1.9, 7.0), catheterization ≥72 hours (relative risk. 2.0; 95 confidence interval, 1.01, 3.8) and gestational age ≤32 weeks (relative risk, 1.8; 95 confidence interval, 1.02, 3.3) increased coloniza-tion risk. Ampicillin infusion (relative risk, 0.4; 95 confidence interval, 0.2, 0.7) and 0.5 chlorhexidine gluconate cutaneous antisepsis (relative risk, 0.4; 9570 confidence interval, 0.2, 0.8) were factors associated with decreased colonization risk. We conclude that 0.5 chlorhexidine gluconate in 70 isopropyl alcohol appears to be more efficacious than 10 povidone-iodine for the prevention of peripheral intravenous catheter colonization in neonates. |
