Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effects of Three-way Stopcock and Split Septum Injection Valve Usage on Catheter Infection and Colonization: A Quasi-Experimental Study
Üç Yollu Musluk ve Split Septumlu Enjeksiyon Valfi Kullanımının Kateter Enfeksiyonu ve Kolonizasyonuna Etkileri: Yarı Deneysel Çalışma
Hilal TÜRKBEN POLATa, Behice ERCİb
aDepartment of Fundamentals of Nursing, Necmettin Erbakan University Seydişehir Kamil Akkanat Faculty of Health Sciences, Konya, Türkiye
bDepartment of Public Health, İnönü University Faculty of Nursing, Malatya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):772-8
doi: 10.5336/nurses.2021-87438
Article Language: EN
Full Text
ABSTRACT
 Objective: Connectors are frequently and necessarily used in patients undergoing intravenous fluid therapy. All of the catheters and connectors may be a risk factor for catheter infections if aseptic techniques were not used. This study was conducted to determine the effect of 3-way stopcock (3WSC) and Split Septum Injection Valve (SSIV) Usage on peripheral intravenous catheter colonization and infection. Material and Methods: This is a quasi-experimental study. The sample of the study consists of 216 patients (108 control, and 108 experimental group). 3WSC was integrated to the control group and SSIV was integrated to the experiment group peripheral venous catheters. Catheters were observed for 72 hours in terms of complications such as bleeding, leakage, and phlebitis infiltration. Catheters were removed for culture sampling 72 hours after catheterization. Descriptive statistics and Pearson chi-square were used in the analysis of the data. Results: The rate of colonization was 5.6% in 3WSCs and 2.8% in SSIVs. When the colonization rates were compared, there was no statistically significant difference between 3WSCs and SSIVs about catheter colonization and infection (p>0.05). Conclusion: Both connectors can be used safely in the administration of continuous intravenous solution and drug therapy. Development of continuous in-service training programs for the prevention of catheter related blood system infections are suggested.

Keywords: Catheter-related infections; peripheral venous catheterization; catheter care
ÖZET
 Amaç: Konnektörler, intravenöz sıvı tedavisi alan hastalarda sıklıkla ve zorunlu olarak kullanılır. Aseptik teknikler kullanılmazsa, tüm kateterler ve konektörler kateter enfeksiyonları için bir risk faktörü olabilir. Bu çalışma, 3 yollu musluk [3-way stopcock (3WSC)] ve split septumlu enjeksiyon valfinin [Split Septum Injection Valve (SSIV)] periferik intravenöz kateter kolonizasyonu ve enfeksiyonu üzerindeki etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma, yarı deneysel bir çalışmadır. Araştırmanın örneklemini 216 (108 kontrol ve 108 deney grubu) hasta oluşturmaktadır. Kontrol grubuna 3WSC, deney grubu periferik venöz kateterlere SSIV takılmıştır. Kateterler kanama, sızıntı, flebit, infiltrasyon gibi komplikasyonlar açısından 72 saat gözlemlenmiştir. Kateterizasyondan 72 saat sonra kültür örneklemesi için kateterler çıkarıldı. Verilerin analizinde, tanımlayıcı istatistikler ve Pearson ki-kare kullanılmıştır. Bulgular: Kolonizasyon oranı 3WSC'lerde %5,6 ve SSIV'lerde %2,8 idi. Kolonizasyon oranları karşılaştırıldığında, 3WSC'ler ve SSIV'ler arasında kateter kolonizasyonu ve enfeksiyonu açısından istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Sonuç: Her iki konnektör de sürekli intravenöz solüsyon uygulamasında ve ilaç tedavisinde güvenle kullanılabilir. Kateter ilişkili kan dolaşımı enfeksiyonlarının önlenmesi için sürekli hizmet içi eğitim programlarının geliştirilmesi önerilmektedir.

Anahtar Kelimeler: Kateter ilişkili enfeksiyonlar; periferik venöz kateterizasyon; kateter bakımı
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