Email Alerts
RSS
Volume 36 Issue 8
. 
Turn off MathJax
Article Contents
Abstract
References
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2020  >  36(8): 698-703
Li Juan, Li Na, Fu Wei, et al. Influence of silver ion dressing on central venous catheter-related infection in severe burn patients[J]. Chin j Burns, 2020, 36(8): 698-703. Doi: 10.3760/cma.j.cn501120-20190519-00246
Citation: Li Juan, Li Na, Fu Wei, et al. Influence of silver ion dressing on central venous catheter-related infection in severe burn patients[J]. Chin j Burns, 2020, 36(8): 698-703. Doi: 10.3760/cma.j.cn501120-20190519-00246
shu

Influence of silver ion dressing on central venous catheter-related infection in severe burn patients

doi: 10.3760/cma.j.cn501120-20190519-00246

  • Department of Burns and Plastic Surgery, the First Hospital of Hebei Medical University, Burns Treatment Project Technology Research Center of Hebei Province, Shijiazhuang 050031, China

  • Received Date: 2019-05-19
    Available Online: 2021-10-28
  • Publish Date: 2020-08-20
    Abstract
  • Objective To investigate the influence of silver ion dressing on related infections induced by inserted central venous catheter through wounds in patients with severe burn. Methods From June 2017 to December 2018, 90 severe burn patients who were admitted to the First Hospital of Hebei Medical University and met the inclusion criteria were included in this prospectively randomized control study. According to the random number table, they were divided into silver ion dressing group (30 patients, 20 males and 10 females, aged (37.2±3.4) years), sterile dressing group (30 patients, 18 males and 12 females, aged (35.2±4.1) years), and Anerdian dressing group (30 patients, 17 males and 13 females, aged (36.3±2.6) years). After admission, the patients in three groups were treated with a 16 G single-lumen central venous catheter inserted into the subclavian vein of burn wounds, with the depth of 19 cm. The puncture points of the patients in silver ion dressing group, sterile dressing group, and Anerdian dressing group were covered with silver ion medical antibacterial dressing, sterile dressing, and sterile gauze dressing infiltrated with Anerdian skin and mucous membrane washing and disinfecting solution, respectively. The patients in three groups underwent catheter maintenance and dressing change every 12 hours. The thousand-day infection rates of catheter outlet infection and catheter-related bloodstream infection (CRBSI), catheter indwelling days, and pathogen detection of the patients in three groups were counted. Data were statistically analyzed with chi-square test, one-way analysis of variance, least significant difference test, Fisher′s exact probability test, and Bonferroni correction. Results (1) The thousand-day infection rates of catheter outlet infection of patients in sterile dressing group and Anerdian dressing group were 22.29‰ (7/314) and 20.83‰ (7/336), respectively, which were similar (P>0.05), and both were significantly higher than 1.54‰ (1/651) in silver ion dressing group (P<0.01). The thousand-day infection rates of CRBSI of patients in sterile dressing group and Anerdian dressing group were 25.48‰ (8/314) and 20.83‰ (7/336), respectively, which were similar (P>0.05), and both were significantly higher than 1.54‰ (1/651) in silver ion dressing group (P<0.01). The catheter indwelling days of patients in sterile dressing group and Anerdian dressing group were similar (P>0.05), and both were significantly shorter than the days in silver ion dressing group (P<0.01). (2) A total of 16 cases of CRBSI occurred in all the patients in 3 groups. A total of 16 pathogenic bacteria were isolated from catheter tip attachment microbial culture and blood microbial culture. The detections rates of pathogenic bacteria of patients in sterile dressing group and Anerdian dressing group were significantly higher than the rate in silver ion dressing group (P<0.05). Conclusions For severe burn patients, the use of silver ion dressings in the maintenance of central venous catheters inserted through wounds can effectively reduce the rate of central venous catheter-related infections and extend the catheter indwelling days.

     

    • FullText(HTML)
    • References(33)
    • Relative Articles

  • Relative Articles

    [1]Expert consensus on the treatment of second-degree burn wounds (2024 edition) Ⅱ: surgical treatment and infection prevention and treatment[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(2): 101-118. doi: 10.3760/cma.j.cn501225-20240112-00015
    [2]Shen Yang, He Jun, Liu Junzhang, Zhang Xianfeng, Tan Jie, Tang Wenjun, Yang Hao, Chen Xu, Luo Xingwang. A randomized controlled trial on the effect of early eschar dermabrasion combined with antimicrobial soft silicone foam dressing in the treatment of deep partial-thickness burn wounds in children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(4): 342-347. doi: 10.3760/cma.j.cn501225-20231004-00103
    [3]Chinese Burn Association. National expert consensus on the operation and management of deep vein catheterization in severe burn patients (2020 version)[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(2): 101-112. doi: 10.3760/cma.j.cn501120-20201122-00487
    [4]Yao Yongming, Luan Yingyi. New understanding on the immunity for severe infections and complications in burns and trauma[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(6): 519-523. doi: 10.3760/cma.j.cn501120-20210118-00025
    [5]Chen Lijuan, Liu Lihong, Sun Linli, Chen Nana, Meng Meifen. Scoping review on prevention of central venous catheter-related bloodstream infection in burn patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(10): 970-977. doi: 10.3760/cma.j.cn501120-20201027-00447
    [6]Luo Xiaoqiang, Gong Yali, Zhang Cheng, Liu Meixi, Shi Yunlong, Peng Yizhi, Li Ning. Analysis of distribution and drug resistance of pathogens isolated from 159 patients with catheter-related bloodstream infection in burn intensive care unit[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2020, 36(1): 24-31. doi: 10.3760/cma.j.issn.1009-2587.2020.01.005
    [7]Lu Fuchang, Shen Mingyan, Chen Huaqing, Xu Ting, Han Chunmao. Nursing care of 29 central venous catheterizations for one burn patient with 99% total body surface area[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2020, 36(7): 600-602. doi: 10.3760/cma.j.cn501120-20190328-00146
    [9]Fang Li, Wang Fan, Sun Kedai, Zhou Tao, Gong Yali, Peng Yizhi. Analysis on the prevalence of central venous catheter-related infection in burn patients and its risk factors[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2016, 32(4): 243-248. doi: 10.3760/cma.j.issn.1009-2587.2016.04.013
    [11]Wang Yihe, Yang Hongming, Hu Quan, Hou Yusen, Luo Hongmin, Liu Lingying. Effects of sivelestat on acute lung injury in dogs with severe burn-blast combined injury Wang Yihe,[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2014, 30(2): 158-165. doi: 10.3760/cma.j.issn.1009-2587.2014.02.015
    [14]XIANG Jun, SUN Zhen, SONG Fei, HAN Li-zhong, HUAN Jing-ning. Formation of bacterial biofilm on deep vein cathethers in burn patients and its significance[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2010, 26(2): 95-99. doi: 10．3760／cma．j．issn．1009-2587．2010．02．003
    [16]ZHANG Qin, LIAO Zhen-jiang. To intensify our understanding about management of severe burn infection[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2009, 25(2): 81-83. doi: 10．3760／cma．j．issn．1009-2587．2009．02．001
    [17]ZHU Pei-fang, WANG Zheng-guo. Burn-blast combined injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2008, 24(5): 384-386.
    [18]CHENG Tian-min, RAN Xin-ze. Studies on the treatment of combined radiation-burn injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2008, 24(5): 387-389.
    [19]Chen Lei, Deng Shi-lin, Liang Jian-wei, Zhang Yan-gong, Liu Jin-wei. Bacteriological surveillance in a burn intensive care unit and the analysis of bacterial resistance to antibiotics[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2005, 21(4): 270-272.
    [20]CAO Yong-qian, WANG De-chang. Clinical analysis of severe burn patients with sepsis during shock stage[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2004, 20(3): 155-157.
    • Supplements(0)
    • Cited By

  • Cited by

    Periodical cited type(16)

    1. 黄静，冷佳梅，唐秋燕. 集束化护理联合银离子藻酸盐敷料在大面积烧伤PICC导管感染中的应用. 中华灾害救援医学. 2024(03): 341-344+367 .
    2. 李鑫，陆静静，秦媛. 护理专案改善模式对烧伤行皮肤软组织扩张术患者的影响. 齐鲁护理杂志. 2023(02): 5-7 .
    3. 崔利红，贺焕，刘晓环，张虹，苗晓. 基于微信平台的病友互助小组结合银离子敷料对肠造口患者自护能力、病耻感的影响. 临床医学研究与实践. 2023(08): 118-120 .
    4. 张申，凡会霞，刘思琦，杨会举，刘世举，刘佃温. “偎脓长肉”理论与“湿性愈合”理论在创伤修复中的相关性探究. 中医学报. 2023(03): 556-566 .
    5. 黎春勤，蔡晓，梁洪敏，黎春华，何永芬. 综合性护理在银离子凝胶及银离子敷料治疗天疱疮患者中的价值分析. 黑龙江医学. 2023(15): 1878-1880 .
    6. 郑若，李志斌，余谦，曾荣洽. 负压封闭引流术联合银离子敷料治疗难愈性烧伤创面的效果分析. 中外医学研究. 2022(01): 117-120 .
    7. 王家彦，徐婷婷，李阳，翟红岩. 不同敷料预防中长期血管通路装置相关性血流感染的研究进展. 中国消毒学杂志. 2022(04): 306-309 .
    8. 任妮，刘朝东. 银离子敷料联合COX健康行为互动模式在糖尿病足患者中的应用效果探讨. 现代医学与健康研究电子杂志. 2022(08): 120-123 .
    9. 卞依妹. 纳米银医用抗菌敷料在烧伤患者中的应用效果及观察评价. 北方药学. 2022(04): 52-54 .
    10. 吴杨炀，曹玲，姚望望，彭英，祁俊，张逸. 7例重度烧伤患者经创面置入静脉通路的循证护理管理. 当代护士(中旬刊). 2022(09): 78-81 .
    11. 李萍，靳三丁，邵婉. 银离子抗菌敷料结合外用生长因子应用于烧伤患者中的效果. 实用中西医结合临床. 2021(04): 81-82 .
    12. 茅彦，马成，孟泽兰. 美容缝合联合rh-bFGF眼凝胶及银离子抗菌敷料应用于眼部外伤处理的美容效果分析. 中国美容医学. 2021(06): 36-39 .
    13. 唐天生，邓朝，陈兴爱，谭显春，李彤红，何侨蔚，何芳. VSD联合银离子冲洗对骨科感染创面愈合及血清hs-CRP、TNF-α、IL-1表达影响的研究. 解放军医药杂志. 2021(08): 57-61 .
    14. 张称，王惠子，王琳，孙会. 银离子敷料联合湿性换药护理在术后感染性伤口患者中的应用. 齐鲁护理杂志. 2021(18): 153-155 .
    15. 马利霞，胡秋霞. 细致护理在重症烧伤患者治疗中的应用及对烧伤瘢痕的干预效果分析. 临床医学工程. 2021(10): 1397-1398 .
    16. 陈丽娟，刘丽红，孙林利，陈娜娜，孟美芬. 预防烧伤患者中心静脉导管相关性血流感染的范围综述. 中华烧伤杂志. 2021(10): 970-977 .

    Other cited types(2)

  • Created with Highcharts 5.0.7Amount of accessChart context menuAbstract Views, HTML Views, PDF Downloads StatisticsAbstract ViewsHTML ViewsPDF Downloads2024-052024-062024-072024-082024-092024-102024-112024-122025-012025-022025-032025-03051015202530
    Created with Highcharts 5.0.7Chart context menuAccess Class DistributionFULLTEXT: 17.9 %FULLTEXT: 17.9 %META: 74.5 %META: 74.5 %PDF: 7.7 %PDF: 7.7 %FULLTEXTMETAPDF
    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 3.6 %其他: 3.6 %其他: 0.5 %其他: 0.5 %[]: 0.5 %[]: 0.5 %上海: 1.3 %上海: 1.3 %兰州: 0.3 %兰州: 0.3 %北京: 0.3 %北京: 0.3 %北方邦: 0.3 %北方邦: 0.3 %南京: 0.3 %南京: 0.3 %南宁: 0.5 %南宁: 0.5 %南昌: 0.5 %南昌: 0.5 %吉隆坡: 0.3 %吉隆坡: 0.3 %哥伦布: 0.3 %哥伦布: 0.3 %嘉兴: 0.3 %嘉兴: 0.3 %大连: 0.3 %大连: 0.3 %山景城: 0.3 %山景城: 0.3 %巴彦淖尔: 1.5 %巴彦淖尔: 1.5 %广州: 2.0 %广州: 2.0 %张家口: 4.3 %张家口: 4.3 %惠州: 0.3 %惠州: 0.3 %抚州: 1.5 %抚州: 1.5 %新乡: 1.5 %新乡: 1.5 %无锡: 0.8 %无锡: 0.8 %昆明: 0.5 %昆明: 0.5 %普赖恩维尔: 0.3 %普赖恩维尔: 0.3 %枣庄: 0.5 %枣庄: 0.5 %武汉: 0.3 %武汉: 0.3 %氹仔: 0.5 %氹仔: 0.5 %汕头: 0.5 %汕头: 0.5 %沃思堡: 0.3 %沃思堡: 0.3 %沈阳: 0.3 %沈阳: 0.3 %洛阳: 0.3 %洛阳: 0.3 %深圳: 1.0 %深圳: 1.0 %渭南: 0.3 %渭南: 0.3 %湛江: 0.3 %湛江: 0.3 %漯河: 0.8 %漯河: 0.8 %潍坊: 0.5 %潍坊: 0.5 %石家庄: 0.5 %石家庄: 0.5 %秦皇岛: 0.3 %秦皇岛: 0.3 %绍兴: 0.3 %绍兴: 0.3 %芒廷维尤: 56.1 %芒廷维尤: 56.1 %芝加哥: 0.3 %芝加哥: 0.3 %西宁: 7.4 %西宁: 7.4 %西安: 0.5 %西安: 0.5 %贵阳: 0.3 %贵阳: 0.3 %运城: 0.3 %运城: 0.3 %遵义: 0.5 %遵义: 0.5 %邯郸: 0.5 %邯郸: 0.5 %郑州: 0.5 %郑州: 0.5 %重庆: 3.3 %重庆: 3.3 %长沙: 0.3 %长沙: 0.3 %青岛: 0.8 %青岛: 0.8 %驻马店: 0.5 %驻马店: 0.5 %黄冈: 0.5 %黄冈: 0.5 %其他其他[]上海兰州北京北方邦南京南宁南昌吉隆坡哥伦布嘉兴大连山景城巴彦淖尔广州张家口惠州抚州新乡无锡昆明普赖恩维尔枣庄武汉氹仔汕头沃思堡沈阳洛阳深圳渭南湛江漯河潍坊石家庄秦皇岛绍兴芒廷维尤芝加哥西宁西安贵阳运城遵义邯郸郑州重庆长沙青岛驻马店黄冈

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Get Citation
    PDF
    XML

    Article Metrics

    Article views (291) PDF downloads(30) Cited by(18)
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return