Table 1

Details of the two-step procedure (A) and the standard four-step procedure (B)


Two-step procedure (A)
Standard four-step procedure (B)

Products
Alcoholic antiseptic solution [Bétadine® 5 % in alcohol, iodine antiseptic]
Detergent solution [Bétadine® Scrub, povidone iodine]
Sterile water [injectable, 10 ml ampoule] Antiseptic solution [Bétadine® Dermique 10% in alcohol, povidone-iodine]
Procedure
Extensive application of the alcoholic antiseptic with sterile wipes.
Skin left to dry in air for 30 seconds
Second application of alcoholic antiseptic with a fresh sterile wipe.
Skin left to dry in air for 30 seconds before insertion of the PVC
Application of the foaming detergent solution. Rinsing, with sterile compresses imbibed with sterile water.
Drying with sterile compresses.
Application of antiseptic, using sterile compresses imbibed with the product.
Skin left to dry in air for 1 minute before insertion of the PVC.

van der Mee-Marquet for the Bloodstream infection Study Group of the Relais Régional d'Hygiène Hospitalière du Centre BMC Anesthesiology 2007 7:1   doi:10.1186/1471-2253-7-1