Cochrane · systematic review · CD011082

Antimicrobial dressings for the prevention of catheter‐related infections in newborn infants with central venous catheters

Lai, NM, Taylor, JE, Tan, K, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

NeonatalAMSTAR 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
8
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 12.5%Very low 0 · 0%Low 0 · 0%Moderate 7 · 87.5%High 0 · 0%

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

Chlorhexidine dressing following alcohol cleansing compared to polyurethane dressing following aqueous povidone‐iodine cleansing for the prevention of catheter‐related infections in newborn infants with central venous catheters

Population: newborn infants with central venous catheters
4 questions
OutcomeEffectEvidenceStatus / GRADE
Sepsis without a source
Chlorhexidine dressing following alcohol cleansing vs polyurethane dressing following aqueous povidone‐iodine cleansing
RR 1.06 [0.75, 1.52]1 study · 705 participantsModerate
Downgraded: imprecision
Catheter‐related blood stream infection
Chlorhexidine dressing following alcohol cleansing vs polyurethane dressing following aqueous povidone‐iodine cleansing
RR 1.18 [0.53, 2.65]1 study · 655 participantsModerate
Downgraded: imprecision
Catheter colonisation
Chlorhexidine dressing following alcohol cleansing vs polyurethane dressing following aqueous povidone‐iodine cleansing
RR 0.62 [0.45, 0.86]1 study · 655 participantsModerate
Downgraded: imprecision
Adverse effects: contact dermatitis
Chlorhexidine dressing following alcohol cleansing vs polyurethane dressing following aqueous povidone‐iodine cleansing
RR 43.06 [2.61, 710.44]1 study · 670 participantsModerate
Downgraded: imprecision

Silver‐alginate dressing versus control for the prevention of catheter‐related infections in newborn infants with central venous catheters

Population: newborn infants with central venous catheters
4 questions
OutcomeEffectEvidenceStatus / GRADE
CRBSI ‐ Unit of analysis: infants Clinical and microbiological methods
Silver‐alginate dressing vs control
RR 0.5 [0.14, 1.78]1 study · 50 participantsModerate
CRBSI ‐ Unit of analysis: catheters Clinial and microbiological methods
Silver‐alginate dressing vs control
RR 0.72 [0.27, 1.89]1 study · 118 participantsModerate
Mortality Clinial assessment
Silver‐alginate dressing vs control
RR 0.55 [0.15, 2.05]2 studies · 150 participantsModerate
Adverse effects: contact dermatitis
Silver‐alginate dressing vs control
no estimate extracted2 studies · 150 participantsUngraded