Cochrane · systematic review · CD010367
Dressings and securement devices for central venous catheters (CVC)
Ullman, AJ, Cooke, ML, Mitchell, M, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 20%Low 1 · 20%Moderate 2 · 40%High 1 · 20%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Gauze and tape compared to standard polyurethane (SPU) for CVC dressing and securement
Population: patients with CVC
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related blood stream infection Gauze and tape vs standard polyurethane (SPU) | RR 0.64 [0.26, 1.63] | 8 studies · 506 participants | Low |
Catheter tip colonisation Gauze and tape vs standard polyurethane (SPU) | RR 0.95 [0.51, 1.77] | 5 studies · 342 participants | Very low Downgraded: indirectness |
Chlorhexidine gluconate‐impregnated (CGI) dressing compared to SPU dressings for CVC dressing and securement
Population: patients with CVCs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related blood stream infection Chlorhexidine gluconate‐impregnated (CGI) dressing vs SPU dressings | RR 0.65 [0.4, 1.05] | 5 studies · 4876 participants | Moderate |
Catheter tip colonisation: Chlorhexidine gluconate‐impregnated (CGI) dressing vs SPU dressings | RR 0.58 [0.47, 0.73] | 6 studies · 4431 participants | Moderate Downgraded: indirectness |
Medication‐impregnated dressings compared to all other dressing types for central venous catheter (CVC) dressing and securement
Population: patients with CVCs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related blood stream infection Medication‐impregnated dressings vs all other dressing types | RR 0.6 [0.39, 0.93] | 6 studies · 5687 participants | High |