Use of chlorhexidine impregnated sponge dressing might be an alternative. Apply antibiotic ointment or povidone iodine ointment to catheter exit sites during dressing change. Patient should be recumbent in bed apply slow steady traction when sliding catheter out have patient perform valsalva maneuver place petroleum based ointment a sterile gauze and occlusive dressing over insertion site.
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