If you think of the catheter exit site as a wound, then an open blister at the site would be an extension of that wound. The goal is always to prevent infection at that exit site, and the BioPatch and/or Silver Site act to kill bacteria at the site, sustaining that activity for 7 days under a transparent dressing. Silver-backed dressings are used often in wound care, however their use at catheter exit sites is relatively new. The patient may not tolerate chlorhexidine on that open skin for an extended period of time, which is when a silver-based dressing might be better.
Nancy
-----Original Message-----
From: Anna Liang [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, February 01, 2006 9:30 PM
To: Kramer, Nancy; '[EMAIL PROTECTED]'; '[EMAIL PROTECTED]'
Subject: RE: [vascular] blister on picc site
will either Biopatch or Silver Site help if the
blister pop?
I am not sure if we can use Silver Site when it is not
yet approved in my facility.
--- "Kramer, Nancy" <[EMAIL PROTECTED]> wrote:
> BioPatch at the exit site might help, and if the
> patient doesn't tolerate it
> there's a new product called Silver Site that uses
> silver-based technology
> to create an antimicrobial environment around the
> catheter. SilverSite is
> made by Centurion and distributed by Tri-State
> Hospital Supply.
> Nancy Kramer
> Coram Healthcare
>
> -----Original Message-----
> From: Anna Liang [mailto:[EMAIL PROTECTED]]
> Sent: Tuesday, January 31, 2006 9:06 PM
> To: [EMAIL PROTECTED]; venous
> Subject: [vascular] blister on picc site
>
>
> a 18 m.o. got admitted for bullous pemphigoid &
> nephrotic syndrome.
> last Friday I chose right AC to put in a PICC -- the
> only intact skin part.
>
> Now he has blister right on the picc exit site.
> not able to pull the line because he still needs
> blood
> draw & IV meds, & no intact skin to start a new PIV
> or
> PICC.
>
> I worry very much that the picc might get infected.
>
> please advise.
>
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