DRESS FOR SUCCESS – UNDERSTANDING THE SCIENCE OF ADHESION TO REDUCE THE RISK OF BLOODSTREAM INFECTION

Mrs Caroline Hale1

13M, North Ryde, Australia

Method: The objectives of this presentation are to showcase and highlight how adhesives work and  how their adhesion contribute to the fundamental success of how I.V. dressings are used or misused.  A review of clinical evidence papers that directly discuss the relationship between I.V. dressing wear time and complications that impact infection rates was undertaken. A description of peel and pull force, acrylate formulation variations, moisture vapour transference rate and dressing design features was discussed. Simple strategies were identified to improve performance of acrylate dressings by following some basic principles of application and removal. Combining knowledge gained from clinical evidence, clinicians are empowered to implement changes to current practice immediately to achieve improved clinical outcomes.

Conclusion: Knowledge gained from multiple sources can be integrated and harmonised to develop strategies to be practically implemented to reduce the risk for the patient to develop a BSI. Improvement in this clinical outcome reduces mortality and morbidity, reduces length of stay, promotes antibiotic stewardship, and reduces the financial burden to the healthcare system.

Background Problem: Bloodstream infections remain a pervasive complication of vascular devices. Current challenges relating to the COVID pandemic, and an increasingly aging society increases the risk of a bloodstream infection (BSI). In addition, BSI’s carry a significant economic burden to the healthcare system. An understanding of the function of adhesives underpins the success of the intravenous (I.V.) dressing and its success in preventing bloodstream infections.


Biography: Caroline is a Registered Nurse holding a degree and post grad degree in Critical Care from University of Sydney. She has worked in the hospital ICU & health care industry for the last 30 years.

In her current role as Application Engineer and subject matter expert across ANZ and Asia for the vascular portfolio at 3M,  Caroline strives to improve patient outcomes by promoting best practice.

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