Effects of central venous catheter type on infections: a prospective clinicl trial

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Title Effects of central venous catheter type on infections: a prospective clinicl trial
Author Richards, B; Chaboyer, Wendy; Bladen, T; Schluter, P
Journal Name Journal of Hospital Infection
Editor Stephen Barrett
Year Published 2003
Place of publication UK
Publisher Elsevier Science Ltd
Abstract This study reports on a block clinical trial of two types of central venous catheters (CVCs): antiseptic-impregnated catheters (AIC) and non-impregnated catheters (non-AIC), on catheter tip colonization and bacteraemia. In total, 500 catheters were inserted in 390 patients over the 18 month study period, 260 (52.0%) AIC and 240 (48.0%) non-AIC. Of these, 460 (92.0%) tips (237 AIC and 223 non-AIC) were collected. While significantly fewer AIC, 14 (5.9%), than non-AIC, 30 (13.5%), catheters were colonized (P<0.01), there was no difference in the rates of bacteraemias in the two groups (0.8% vs. 2.7%, respectively, P=0.16). There were 6.87 (95% CI 3.3814.26) and 16.92 (95% CI 10.6127.12) colonized AIC and non-AIC catheters, respectively, per 1000 catheter days, a difference that was significant (P<0.01). However, no difference emerged between bacteraemias in AIC and non-AIC catheters per 1000 catheter days measured at 0.98 (95% CI 0.245.54) and 3.38 (95% CI 1.299.34), respectively (P=0.10). Of the 444 CVCs that were sited in the subclavian or jugular veins and had tips collected, significantly more catheters were colonized in the jugular group, 19 (20%), compared with the subclavian group, 24 (6.9%; Pd0.01). Overall, the low rates of colonization and bacteraemia may be explained by the population studied, the policies used and the employment of a clinical nurse dedicated to CVC management.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.elsevier.com/wps/find/journaldescription.cws_home/623052/description#description
Copyright Statement Copyright 2003 Elsevier : Reproduced in accordance with the copyright policy of the publisher : This journal is available online - use hypertext links.
Volume 54
Page from 10
Page to 17
ISSN 0195-6701
Date Accessioned 2004-03-30
Language en_AU
Research Centre Centre for Health Practice Innovation; Menzies Health Institute Qld
Faculty Faculty of Nursing & Health
Subject Medical Infection Agents (incl. Prions)
URI http://hdl.handle.net/10072/6249
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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