Catheter-related bloodstream infectio
Author:
Publisher
Springer Science and Business Media LLC
Subject
Infectious Diseases
Link
http://link.springer.com/content/pdf/10.1007/s11908-999-0025-3.pdf
Reference64 articles.
1. Byers K, Adal K, Anglim A, Farr B: Case fatality rate for catheter-related bloodstream infections (CR-BSI): a meta-analysis [abstract 43]. In 5th Annual Meeting of the Society for Hospital Epidemiology of America. San Diego, 1995:23.
2. Pearson M: Guideline for prevention of intravascular devicerelated infections. Am J Infect Control 1996, 24:262–293.
3. Raad I, Darouiche RO, Dupuis J, et al.: Central venous catheters coated with minocycline and rifampin for the prevention of catheter-related colonization and bloodstream infection. Ann Intern Med 1997, 127:267–274. This reference reports a comparison of rifampin-minocycline-coated catheters with standard triple-lumen catheters. Significant reductions in both catheter colonization and CR-BSI, as well as a cost savings, were seen with use of the coated catheters.
4. Maki DG, Stolz SM, Wheeler S, Mermel LA: Prevention of central venous catheter-related bloodstream infection by use of an antiseptic-impregnated catheter: a randomized, controlled trial. Ann Intern Med 1997, 127:257–266. This large randomized trial is the first to show that CSS-coated catheters significantly reduce the incidence of CR-BSI compared with standard catheters. The authors also determined that use of these catheters could allow cost savings in certain settings. This study also addressed the issue of, and failed to detect, the emergence of resistant organisms due to use of this catheter.
5. Tennenberg S, Lieser M, McCurdy B, et al.: A prospective randomized trial of an antibiotic and antiseptic-coated central venous catheter in the prevention of catheter-related infections. Arch Surg 1997, 132:1248–1351. This prospective randomized study provides some of the best evidence for the potential efficacy of CSS-coated catheters in reducing the incidence of infectious complications related to CVCs. A nonsignificant trend toward lower rates of CR-BSI was observed in addition to significant reductions in catheter and catheter site colonization. The relatively small size of the trial (282 patients) may have prevente the detection of significant decreases in the rate of CR-BSI.
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1. Diagnosis of central venous catheter related infection in adult patients;Journal of Infection;2005-11
2. Meta-Analysis: Methods for Diagnosing Intravascular Device–Related Bloodstream Infection;Annals of Internal Medicine;2005-03-15
3. Infectious complications of venous access devices;Techniques in Vascular and Interventional Radiology;2002-06
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