Forni Cristiana, D'Alessandro Fabio, Gambino Orazio, Amodeo Alfredo, Pignotti Elettra, Zanotti Enrichetta, Tremosini Morena, Trofa Carmela, Sabattini Tania, Matino Federica, Genco Rossana, Schiavone Miguel, Bombino Caterina, Mini Sandra, Rocchegiani Laura, Notarnicola Teresa, Capezzali Daniela, Boschi Rita, Loro Loretta
Infermiere centro di Ricerca delle Professioni Sanitarie.
Assist Inferm Ric. 2012 Apr-Jun;31(2):63-9. doi: 10.1702/1131.12467.
Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC), on the incidence of phlebitis. A randomized controlled trial.
The type of dressing could contribute to the incidence of phlebitis, infiltration and accidental removals but the results of the studies are contrasting and samples are limited.
To compare the effectiveness of a transparent polyurethane sterile dressing on the rate of phlebitis associated to peripheral venous catheter (PVC) vs a non sterile sticking plaster in use in current practice (standard dressing).
Randomized controlled trial. Participants. 1061 PVCs (703 patients, adults and children) at a research orthopedic hospital in the north of Italy; 540 PVCs allocated to receive the sterile and 521 the standard dressing.
96 PVCs were excluded for phlebitis, 48 (9.6%) in the sterile and 48 (10.1%) in the standard dressing group, RR 0.96 (95%CI 0.697 - 1.335). Accidental removal of the PVCs was more frequent with the sterile dressing (9.6% vs 6.3%) but the number of catheters removed without complications was larger in the standard dressing group (48.9% vs 54.9% P=0.0503). Eighty-five PVCs were replaced for detachment of the dressing (50, 9.2% sterile and 35, 6.7% standard dressing). The cheapest transparent sterile dressing costs 32 cents while the standard 9 cents.
A sticking non sterile plasters is not influential on the rate of phlebitis and ensures an good fix of the PVC compared the transparent sterile dressing to of polyurethane film.
透明无菌敷料与标准敷料固定外周静脉导管（PVC）对静脉炎发生率的影响。一项随机对照试验。
敷料类型可能会影响静脉炎、渗血和意外拔管的发生率，但研究结果相互矛盾且样本有限。
比较透明聚氨酯无菌敷料与当前临床使用的非无菌胶布（标准敷料）对外周静脉导管相关静脉炎发生率的影响。
随机对照试验。参与者。意大利北部一家骨科研究医院的1061根PVC（703例患者，包括成人和儿童）；540根PVC分配接受无菌敷料，521根接受标准敷料。
96根PVC因静脉炎被排除，无菌敷料组48根（9.6%），标准敷料组48根（10.1%），相对危险度0.96（95%可信区间0.697 - 1.335）。使用无菌敷料时PVC意外拔除更为频繁（9.6%对6.3%），但标准敷料组无并发症拔除的导管数量更多（48.9%对54.9%，P = 0.0503）。85根PVC因敷料脱落而更换（无菌敷料组50根，9.2%；标准敷料组35根，6.7%）。最便宜的透明无菌敷料成本为32美分，而标准敷料为9美分。
与聚氨酯薄膜透明无菌敷料相比，非无菌胶布对静脉炎发生率无影响，且能确保较好地固定PVC。
