Original Research Article
Year: 2019 | Month: July-September | Volume: 4 | Issue: 3 | Pages: 19-26
A Pilot Randomized Trial to Compare the Risk of Local Skin Infection by Preparation of Injection Site with Boiled Cotton Swabs, Alcohol Swabs and With No Swabbing
Ms. Jasneet Kaur1, Dr. Sushma K Saini2, Dr. Bhavneet Bharti3, Dr. Neelam Taneja4
1Nursing Tutor, Akal College of Nursing, Baru Sahib, District Sirmour, H.P.
2Lecturer, National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh.
3Additional Professor, Pediatrics, Advanced Pediatric Center, PGIMER, Chandigarh
4Professor, Department of Medical Microbiology, PGIMER, Chandigarh
Corresponding Author: Ms. Jasneet Kaur
ABSTRACT
Background: Injections are most common procedures performed by nurses, thus their responsibility to make them safe and effective. Hence the concept of injection site preparation came into practice, but there are various guidelines regarding skin preparation prior to injection leaving nurses in uncertainty. So the present study was taken up.
Methods: Immunization room, PGIMER, Chandigarh was chosen as study setting. Total of 450 subjects were enrolled from July- October 2014, using total enumeration sampling technique. The allocation was done using block randomization. Interview schedule and Observational checklist to collect data was developed and validated by experts in field of nursing and pediatrics. Parents were educated about implementation of observational checklist to detect various symptoms of infection and their observation was validated. The data was collected using the interview schedule and implementation of observational checklist by parents telephonically. Results: There was no statistical significant difference in occurrence of infection by using any of the three methods i.e. boiled cotton swab, alcohol swab and no swabbing for injection site preparation.
Conclusion: The study concludes that any of the above said methods can be employed to prepare the injection site prior to injection.
Keywords: injection site preparation, immunization, Boiled swabs, alcohol swabs, no swabbing