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Increased transparency
Congratulations to Anna Paweletz and colleagues for submitting their breathtakingly simple innovation for improving the safety of neonatal procedures. The use of transparent drapes for procedures should be easy to implement more widely and could make an important contribution to patient safety. Some readers may say they have been doing this for years but most will have learnt something very helpful. See page F151
Catheter related blood stream infection
Emily Keiran and colleagues performed a randomised controlled trial comparing the use of 2% chorhexidine in 70% isopropyl alcohol with 10% povidone iodine for cleaning of insertion sites for placing central venous catheters in preterm infants. They recruited 304 infants<31 weeks gestation cared for in two hospitals and included 815 central venous catheters inserted for a cumulative total of 3078 days. The primary outcome of catheter related blood stream infection occurred in 7% of infants where the chlorhexidine in alchohol was used and 5% where the povidone iodine was used. Fewer than 1% of infants had skin reactions. Raised thyroid stimulating hormone levels were observed …
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