Povidone-Iodine, 0.05% Chlorhexidine Gluconate, or Water for Periurethral Cleaning Before Indwelling Urinary Catheterization in a Pediatric Intensive Care: A Randomized Controlled Trial

dc.authorid Sonmez Duzkaya, Duygu/0000-0002-1815-8821
dc.authorid citak, agop/0000-0002-5108-3913
dc.authorscopusid 57191618843
dc.authorscopusid 55320030400
dc.authorscopusid 16038698400
dc.authorscopusid 57191609887
dc.authorscopusid 55946857300
dc.authorwosid Sönmez Düzkaya, Duygu/HHS-4528-2022
dc.authorwosid Sonmez Duzkaya, Duygu/V-5305-2017
dc.contributor.author Duezkaya, Duygu Soenmez
dc.contributor.author Uysal, Guelzade
dc.contributor.author Bozkurt, Guelcin
dc.contributor.author Yakut, Tuelay
dc.contributor.author Citak, Agop
dc.date.accessioned 2024-05-25T11:19:45Z
dc.date.available 2024-05-25T11:19:45Z
dc.date.issued 2017
dc.department Okan University en_US
dc.department-temp [Duezkaya, Duygu Soenmez] Istanbul Univ, Istanbul Fac Med, Directorate Nursing Serv, TR-31900 Istanbul, Turkey; [Uysal, Guelzade] Okan Univ, Sch Hlth Sci, Istanbul, Turkey; [Bozkurt, Guelcin] Istanbul Univ, Sch Hlth Sci, Istanbul, Turkey; [Yakut, Tuelay] Istanbul Univ, Istanbul Fac Med, Pediat Intens Care Unit, Istanbul, Turkey; [Citak, Agop] Acibadem Univ, Pediat Intens Care Unit, Istanbul, Turkey en_US
dc.description Sonmez Duzkaya, Duygu/0000-0002-1815-8821; citak, agop/0000-0002-5108-3913 en_US
dc.description.abstract PURPOSE: The aim of this study was to evaluate the efficacy of periurethral cleaning with 10% povidone-iodine, 0.05% chlorhexidine gluconate, or sterile water in preventing catheter-associated urinary tract infections (CAUTIs) prior to indwelling urinary catheter insertion in a pediatric intensive care unit. A secondary aim was to identify pathogens resulting in CAUTIs in this group. DESIGN: Randomized controlled trial. SUBJECTS AND SETTING: One hundred twenty-two patients cared for in a pediatric intensive care unit of a university hospital between September 2012 and December 2013 participated in the study. METHODS: Subjects were randomly allocated to 1 of 3 groups: periurethral cleansing with 0.05% chlorhexidine; 10% povidone-iodine; or sterile water. The patients in each group were cleansed 3 times using different sterile pads and assigned cleansing solutions for as long as the patients were observed or until the urinary catheter was removed. Daily monitoring forms, which included physiologic and physical parameters and catheter-related infections, were completed for all patients. We used Centers for Disease Control and Prevention/National Health and Safety Network criteria to determine the presence of a CAUTI. RESULTS: CAUTIs occurred in 6 patients (15%) allocated to periurethral cleansing with povidone-iodine, 2 (4.8%) in the chlorhexidine gluconate group, and 3 (7.5%) in the sterile water group. Although more patients in the povidone-iodine group had CAUTI than in the other 2 groups, differences were not statistically significant (P > .05). CONCLUSION: We found no statistically significant differences in CAUTI rates in the 3 groups. Further investigation with a larger study group is needed to more definitively identify any difference in CAUTI occurrences based on periurethral cleansing solution. en_US
dc.identifier.citationcount 14
dc.identifier.doi 10.1097/WON.0000000000000280
dc.identifier.endpage 88 en_US
dc.identifier.issn 1071-5754
dc.identifier.issn 1528-3976
dc.identifier.issue 1 en_US
dc.identifier.pmid 27824737
dc.identifier.scopus 2-s2.0-84994651586
dc.identifier.scopusquality Q1
dc.identifier.startpage 84 en_US
dc.identifier.uri https://doi.org/10.1097/WON.0000000000000280
dc.identifier.uri https://hdl.handle.net/20.500.14517/445
dc.identifier.volume 44 en_US
dc.identifier.wos WOS:000395485500014
dc.identifier.wosquality Q1
dc.language.iso en
dc.publisher Lippincott Williams & Wilkins en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 17
dc.subject Chlorhexidine gluconate en_US
dc.subject Indwelling urinary catheter en_US
dc.subject Periurethral cleansing en_US
dc.subject Povidone-iodine en_US
dc.subject Urinary catheter care en_US
dc.subject Urinary catheterization en_US
dc.title Povidone-Iodine, 0.05% Chlorhexidine Gluconate, or Water for Periurethral Cleaning Before Indwelling Urinary Catheterization in a Pediatric Intensive Care: A Randomized Controlled Trial en_US
dc.type Article en_US
dc.wos.citedbyCount 14

Files