]>
IRCT20210412050938N1 IRCT 2021-06-28 Oroumia University of Medical Sciences the effect of dressing on the infection rate of hemodialysis catheters in hemodialysis patients Comparative study of the effect of using silver nanoparticles dressings and alcoholic chlorhexidine impregnated dressings and conventional dressings on the rate of infection of temporary hemodialysis catheters in hemodialysis patients 2021-05-31 anticipated 120 Complete https://irct.ir/trial/56353 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients will be divided into three groups using a simple randomization method based on a table of random numbers. According to the sample size (120 patients), patients will first be given a code from 1 to 120 (given that the number of patients is three digits). Therefore, the given codes will be three digits: 001, 002, ......, 120) Then a number will be randomly selected from the table and we will go from top to bottom in a column in the table until the sample size is examined. To be completed. In this case, patients between 001 and 040 will be in group one, 041 to 080 in group 2 and 081 to 120 in group 3, Blinding description: Blinding in this study will be done in several steps as follows 1- Preparing 120 dressing packages that are the same in terms of appearance, type of packaging and color. 2- Using a table of random numbers to assign dressing packages to three treatment groups at random. 3- After assigning the dressings to three groups, we mark them with a label of 1 to 120. 4- The researcher delivers the dressing packages to the therapist and the therapist gives the patients from 1 to 120, respectively (only the researcher is aware of the number of dressings and which treatment group each dressing package belongs to, and therefore is blind. The study is valid because the therapist and patient are unaware of the nature of the treatment and dressing). N/A hemodialysis patients. Intervention 1: The catheter site is disinfected with 10% povidone iodine and then washed and dried with normal saline, covered with a sterile dressing. The time required for rinsing with povidone iodine is 2 minutes. It will be washed and bandaged three times at intervals of 48 hours, and at each time the symptoms of local infection will be checked with a checklist, and then the correct way to take care of the catheter dressing and to observe the hygiene of the area will be taught. one liter povidone iodine from Pejhan Shimi Yazd Company will be used. Intervention 2: Intervention group: To do the dressing with silver, according to the product catalog, first wash and dry the catheter site with washing serum and then wet the silver dressing with sterile water to have more and better silver release, then place it in the catheter site sterile and fix we do. Each group will be washed and bandaged three times at intervals of 48 hours. At each time, the symptoms of local infection will be checked with a checklist, and then the correct way to take care of the catheter dressing and observe the hygiene of the area will be taught. Eurofarm Silvermed adhesive silver absorbent dressing will be used. Intervention 3: Intervention group:Rinse the catheter site with 2% chlorhexidine in 70% isopropyl for 30 seconds and wait for it to dry. It will then be sterilely dressed.Each group will be washed and bandaged three times at intervals of 48 hours. At each time, the symptoms of local infection will be checked with a checklist, and then the correct way to take care of the catheter dressing and observe the hygiene of the area will be taught. body prep solution from Behban Shimi company will be used that contains 2% chlorhexidine in 70% isopropyl alcohol. Yes - There is a plan to make this available What will be shared: Unidentifiable data of individuals and related information available to others Researchers will be placed. Study protocol, data analysis program and Etc. will also be shared When: 3 months after article publication To whom: Health care professionalists Conditions: Data can be used to research and provide new solutions by citing the source Where to obtain: Refer to this mail: pourmehr.omid@umsu.ac.ir Omid Pourmehr How to obtain: Email to the applicant - Request from the Vice Chancellor for Research - If the information to the applicant is positive Comments:
public Omid Pourmehr
No.72 , Maad Alley, Ghandi Ave., Ahar Town
Ahar Iran (Islamic Republic of) 5451665433 +98 41 4422 0369 omidpourmehr@gmail.com Oroumia University of Medical Sciences scientific Omid Pourmehr
No.72 , Maad Alley, Ghandi Ave., Ahar Town
Ahar Iran (Islamic Republic of) 5451665433 +98 41 4422 0369 omidpourmehr@gmail.com Oroumia University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Willingness to participate in research Patients with renal insufficiency with temporary temporal and subclavian catheters Patients with negative skin culture No respiratory, pulmonary and blood infectious diseases (file review) Patients who do not receive intravenous or oral antibiotics Patients who do not take immunosuppressive drugs 35 years 60 years Both Reluctance to continue the research process Z99.2 Dependence on renal dialysis Prevention Prevention Prevention The catheter site is disinfected with 10% povidone iodine and then washed and dried with normal saline, covered with a sterile dressing. The time required for rinsing with povidone iodine is 2 minutes. It will be washed and bandaged three times at intervals of 48 hours, and at each time the symptoms of local infection will be checked with a checklist, and then the correct way to take care of the catheter dressing and to observe the hygiene of the area will be taught. one liter povidone iodine from Pejhan Shimi Yazd Company will be used. Intervention group: To do the dressing with silver, according to the product catalog, first wash and dry the catheter site with washing serum and then wet the silver dressing with sterile water to have more and better silver release, then place it in the catheter site sterile and fix we do. Each group will be washed and bandaged three times at intervals of 48 hours. At each time, the symptoms of local infection will be checked with a checklist, and then the correct way to take care of the catheter dressing and observe the hygiene of the area will be taught. Eurofarm Silvermed adhesive silver absorbent dressing will be used. Intervention group:Rinse the catheter site with 2% chlorhexidine in 70% isopropyl for 30 seconds and wait for it to dry. It will then be sterilely dressed.Each group will be washed and bandaged three times at intervals of 48 hours. At each time, the symptoms of local infection will be checked with a checklist, and then the correct way to take care of the catheter dressing and observe the hygiene of the area will be taught. body prep solution from Behban Shimi company will be used that contains 2% chlorhexidine in 70% isopropyl alcohol Catheter site infection. Timepoint: Three times at 48-hour intervals(At the time of initial dressing, the second and fourth day of dressing). Method of measurement: checklist. Bacterial colonization. Timepoint: Before intervention start and after 3rd time dressing. Method of measurement: skin culture from catheter location. Oroumia University of Medical Sciences Approved 2021-06-09 Urmia University Of Medical sciences No. 72 , Maad Alley , Ghandi Ave Ahar East Azarbaijan Iran (Islamic Republic of)