Korean J Fam Pract. 2016; 6(6): 695-698  https://doi.org/10.21215/kjfp.2016.6.6.695
A Preliminary Study for the Standardization of Central Venous Catheter Dressing Methods in Terminal Cancer Patient
Gyoeng Na Lee, Youn Seon Choi*, Jung Eun Kim, E Yeon Kim, Myung Yun Lee
Department of Family Medicine, Korea University Guro Hospital, Seoul, Korea
Youn Seon Choi
Tel: +82-2-2626-3275, Fax: +82-2-837-0613
E-mail: younseon@korea.ac.kr
Received: September 7, 2016; Accepted: September 17, 2016; Published online: December 20, 2016.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Central venous catheter (CVC) has been increasingly used in patients with terminal cancer. Dressing is important to prevent CVC-related infections (CRIs). However, only few generally accepted standard protocols consider palliative care feasible. This study compared CRI rates between the previous and standardized dressing methods in patients with terminal cancer.
Methods: We conducted a retrospective intervention to reduce the incidence of CRI in a hospice ward of the Korea University Guro Hospital. The interventions consisted of producing Centers for Disease Control guideline-based protocols for CVC dressing and education for medical providers. Among patients who had a CVC, 59 patients were enrolled in this study. We assessed and compared indicators such as fever and blood culture results, and recorded the number of CRI cases.
Results: To compare between preinterventional and interventional periods, the CRI rates were 7.58 and 3.45 per 1,000 catheter-days, respectively. However, no statistically significant difference in CRI rate was found between the dressing protocols (P=0.526).
Conclusion: Despite no significant difference in the CRI rate, CVC maintenance data increased. More prospective studies on the efficacy of standard dressing protocols should be performed for terminal cancer patients.
Keywords: Central Venous Catheters; Catheter-Related Infections/Microbiology; Palliative Care; Catheter-Related Infections/Prevent and Control
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