dc.contributor.author | Slater, K | |
dc.contributor.author | Cooke, M | |
dc.contributor.author | Fullerton, F | |
dc.contributor.author | Whitby, M | |
dc.contributor.author | Hay, J | |
dc.contributor.author | Lingard, S | |
dc.contributor.author | Douglas, J | |
dc.contributor.author | Rickard, CM | |
dc.date.accessioned | 2020-05-04T23:09:28Z | |
dc.date.available | 2020-05-04T23:09:28Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0196-6553 | |
dc.identifier.doi | 10.1016/j.ajic.2019.11.030 | |
dc.identifier.uri | http://hdl.handle.net/10072/393561 | |
dc.description.abstract | Background: Needleless connectors (NCs) were introduced to reduce health care work needlestick injuries (NSIs). If not decontaminated prior to use, NCs can be a portal for patient blood stream infections. The optimal disinfectant, and its application duration, for NC decontamination has not been empirically established. Methods: Factorial design randomized controlled trial comparing 70% isopropyl alcohol (IPA) and 2% chlorhexidine gluconate (CHG) in 70% IPA for 5, 10, or 15 seconds, in adult medical patients with peripheral intravenous catheters. Results: At baseline, 153 of 300 NCs (51%) grew microorganisms commonly found on the skin. Decontamination was successful in 150/153 (98%). There was no significant difference in decontamination between 70% IPA or 2% CHG in 70% IPA (P = .62), or decontamination for 5, 10, or 15 seconds (P = .21). Conclusions: There was no difference in the effectiveness of 70% IPA and 2% CHG in 70% IPA for NC decontamination for peripheral intravenous catheters in the clinical environment. Successful decontamination was not different for applications of 5, 10, and 15 seconds; 15 seconds did not always remove all microorganisms. Factors such as cost, feasibility of compliance, and low risk of allergy support 5 seconds decontamination with 70% IPA as an acceptable approach. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofjournal | American Journal of Infection Control | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.keywords | Blood stream infection | |
dc.subject.keywords | Microbiology | |
dc.title | Peripheral intravenous catheter needleless connector decontamination study—Randomized controlled trial | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Slater, K; Cooke, M; Fullerton, F; Whitby, M; Hay, J; Lingard, S; Douglas, J; Rickard, CM, Peripheral intravenous catheter needleless connector decontamination study—Randomized controlled trial, American Journal of Infection Control, 2020 | |
dcterms.dateAccepted | 2019-11-26 | |
dc.date.updated | 2020-05-04T23:06:45Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Cooke, Marie L. | |