Efficacy of subcutaneous silver-impregnated cuffs in preventing central venous catheter infections.
نویسندگان
چکیده
STUDY OBJECTIVES To determine the efficacy of an attachable subcutaneous silver-impregnated cuff in preventing local central venous catheter (CVC)-related infection and catheter-related sepsis in critically ill surgical patients. DESIGN A prospective analysis of the use of an attachable subcutaneous silver-impregnated cuff compared with a control group in two consecutive time periods. SETTING Two surgical ICUs at the Queen's Medical Center at the University of Hawaii Surgical Residency Program, Honolulu. PATIENTS All surgical ICU patients requiring insertion of central catheters. INTERVENTIONS None. MEASUREMENT AND MAIN RESULT Two hundred thirty-five CVCs in 154 patients were prospectively evaluated. Silver-impregnated cuffs were used in the first 100 catheters, but none were used in the remaining 135 catheters. The incidence of catheter-related infection in both groups was 15% and 20%, respectively, not statistically significant. Catheter-related sepsis was 3% in both groups. CONCLUSIONS The use of an attachable subcutaneous silver-impregnated cuff failed to decrease the incidence of CVC-related infection and sepsis.
منابع مشابه
Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis.
CONTEXT Central venous catheters impregnated with chlorhexidine and silver sulfadiazine have recently been introduced for the prevention of catheter-related infections. However, there remains some uncertainty regarding the efficacy of these catheters because of conflicting reports in the literature. OBJECTIVE To evaluate the efficacy of chlorhexidine-silver sulfadiazine-impregnated central ve...
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Considerable research has been conducted and published regarding the efficacy of ARROWgard Blue, chlorhexidine and silver sulfadiazine in suppressing microbial colonization, and their effect on reducing hospital costs. A catheter-related bloodstream infection can prolong hospitalization and substantually add to the cost of hospitalization. In addition, numerous studies have investigated the inc...
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Considerable research has been conducted and published regarding the efficacy of ARROWg + ard, chlorhexidine and silver sulfadiazine in suppressing microbial colonization, and their effect on reducing hospital costs. A catheterrelated bloodstream infection can prolong hospitalization and substantially add to the cost of hospitalization. In addition, numerous studies have investigated the incide...
متن کاملCost-effectiveness of antiseptic-impregnated central venous catheters for the prevention of catheter-related bloodstream infection.
CONTEXT A recent randomized controlled trial and meta-analysis indicated that central venous catheters impregnated with an antiseptic combination of chlorhexidine and silver sulfadiazine are efficacious in reducing the incidence of catheter-related bloodstream infection (CR-BSI); however, the ultimate clinical and economic consequences of their use have not been formally evaluated. OBJECTIVE ...
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عنوان ژورنال:
- Chest
دوره 109 4 شماره
صفحات -
تاریخ انتشار 1996