Safety and efficacy of silicone tape for indwelling urinary catheter fixation in intensive care patients—A randomized clinical trial

Author:

de Paula Fabiana Martins1ORCID,Frota Oleci Pereira1ORCID,Ruiz Juliana Silva1ORCID,Braulio Isabela Cassão1ORCID,do Nascimento Gonçalves Fernanda Carvalho1ORCID,Ferreira‐Júnior Marcos Antonio1ORCID,Sonobe Helena Megumi2ORCID,Ferreira Danielle Neris3ORCID,Pompeo Carolina Mariano13ORCID,de Sousa Alvaro Francisco Lopes4ORCID

Affiliation:

1. School of Nursing Federal University of Mato Grosso do Sul Campo Grande Brazil

2. Ribeirao Preto College of Nursing University of Sao Paulo Ribeirão Preto Brazil

3. Maria Aparecida Pedrossian University Hospital Campo Grande Brazil

4. Instituto de Ensino e Pesquisa Hospital Sírio‐Libanês Sao Paulo Brazil

Abstract

AbstractBackgroundCritically ill patients are more vulnerable to medical adhesive‐related skin injuries (MARSI), whose prevention is a constant challenge and one of the main quality indicators of nursing care. MARSI associated with indwelling urinary catheter (IUC) fixation is a relevant adverse event, mainly because of the constant involuntary traction and high skin vulnerability of the fixation site. Silicone adhesive tape has appreciable qualities for fragile skin among the range of adhesives, leading to the inference that it reduces the risk of MARSI.AimTo compare silicone adhesive tape for IUC fixation with acrylate tape regarding its safety and efficacy.Study DesignThis was a randomized controlled trial blinded to the patients and evaluator. Data were collected from an intensive care unit (ICU) of a tertiary university hospital in Brazil. Patients with IUC and no MARSI at the fixation site were considered eligible. The omega (Ω) fixation technique was used for IUC fixation. A total of 132 participants were enrolled and divided into two research groups: 66 patients in the intervention group (silicone tape) and 66 in the control group (acrylate tape). Outcomes were the incidence of MARSI, patient outcome in the ICU and hospital and partial, total and overall spontaneous detachment of the tapes.ResultsThe overall incidence of MARSI was 28%, with 21% in the silicone group and 35% in the acrylate group, with no statistically significant difference (p = .121), including the severity of the lesions (p = .902). However, partial (p = .003) and overall (p < .001) detachment of the tapes were more frequent in the silicone group.ConclusionsSilicone tape is no safer than acrylate tape for IUC fixation and is less adhesively effective.Relevance to Clinical PracticeThere is no evidence to support the extensive use of silicone tape in this context.

Funder

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Publisher

Wiley

Subject

Critical Care Nursing

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3