dc.contributor.author | Richards, B | |
dc.contributor.author | Chaboyer, W | |
dc.contributor.author | Bladen, T | |
dc.contributor.author | Schluter, PJ | |
dc.date.accessioned | 2017-05-03T13:08:21Z | |
dc.date.available | 2017-05-03T13:08:21Z | |
dc.date.issued | 2003 | |
dc.date.modified | 2007-03-15T21:34:24Z | |
dc.identifier.issn | 0195-6701 | |
dc.identifier.uri | http://hdl.handle.net/10072/6249 | |
dc.description.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 3.38-14.26) and 16.92 (95% CI 10.61-27.12) 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 0.24-5.54) and 3.38 (95% CI 1.29-9.34), 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%; P=0.01). 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. | |
dc.description.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier Science | |
dc.publisher.place | UK | |
dc.publisher.uri | http://www.elsevier.com/wps/find/journaldescription.cws_home/623052/description#description | |
dc.relation.ispartofpagefrom | 10 | |
dc.relation.ispartofpageto | 17 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Journal of Hospital Infection | |
dc.relation.ispartofvolume | 54 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.title | Effects of central venous catheter type on infections: a prospective clinical trial | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.rights.copyright | © 2003 Elsevier : Reproduced in accordance with the copyright policy of the publisher : This journal is available online - use hypertext links. | |
gro.date.issued | 2003 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Chaboyer, Wendy | |