Medical adhesive-related skin injury associated factors at PICC insertion site in patients with hematologic malignancies

• DOI: 10.3760/cma.j.issn.1672-7088.2017.05.004
• Publication Date: 2017-02-11
• Authors: Huihan Zhao; Huiqiao Huang; Wei Qin; Xuemei Zhou; Ying Ling; Gaoye Li; Yanping Ying
• Keywords: Folliculitis; Cross-sectional study; Medical record

Objective To measure the prevalence and analyzed associated factors of medical adhesive-related skin injuries (MARSI) at PICC insertion site in patients with hematologic malignancies.

Methods A cross-sectional observational study lasting two weeks was carried out Department Hematology. Skin assessment data photographs were collected during maintenances by same investigator. The related information got from record. observed classified dermatologist specialized nurse together. MARSI calculated. statistically.

Results All 153 malignancies included. total 33.99% (52/153), including mechanical injury (22.87%,35/153), contact dermatitis (CD) (9.80%,15/153), moisture-associated damage (0.65%,1/153), folliculitis(0.65%,1/153), respectively. Multivariate analysis identified independent risk for age≥ 50 years old, P=0.016, odds ratio (OR)=5.919, 95% CI 1.389-25.220 non-specialist nurses maintenance, P=0.013, OR=8.333,95%CI 1.566-44.360. History allergies (P=0.000, OR=12.333, 95%CI 3.669-41.454) arsenic trioxide infusion through (P=0.003, OR=4.565, 1.661-12.547) CD.

Conclusions MARSI is a prevalent event malignancies. Epidemiological are presented our study, which provide basis future this area.

Key words: Hematologic neoplasms; Catheterization,central venous; Epidemiology; Factor analysis, statistical; Skin