scholarly journals Management of central venous catheters in intensive care units: Comparative study of guidelines versus practice

2015 ◽  
Vol 19 (1) ◽  
pp. 54-56
Author(s):  
Tanvir Samra ◽  
Arushi Gupta ◽  
Neerja Banerjee ◽  
Rajesh Sood
2007 ◽  
Vol 15 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Eni Rosa Aires Borba Mesiano ◽  
Edgar Merchán-Hamann

Central Venous Catheters (CVC), widely used in Intensive Care Units (ICU) are important sources of bloodstream infections (BSI). This prospective cohort epidemiological analytical study, aimed to infer the incidence of BSI, the risk factors associated and evaluate the care actions related to the use of these catheters in seven ICU in the Federal District - Brasília, Brazil. From the 630 patients using CVC, 6.4% developed BSI (1.5% directly related to the catheter and 4.9% clinic BSI). The hospitalization term was 3.5 times greater among these patients. Different modalities of catheter insertion and antiseptic substances use were observed. Time of CVC permanence was significantly associated to infection incidence (p<1x10-8) as well as the right subclavian access and double-lumen catheters. Patients with neurological disorders and those submitted to tracheotomy were the most affected. We suggest the organization of a "catheter group" aiming to standardize procedures related to the use of catheters in order to reduce the hospitalization term and hospital costs.


2018 ◽  
Vol 9 (2) ◽  
pp. 302-312
Author(s):  
Shaimaa Said Mohamed Mahmoud ◽  
Iman Ibrahim Abd Al- Moniem ◽  
Hyam Refaat Tantawi

The Lancet ◽  
1984 ◽  
Vol 324 (8417-8418) ◽  
pp. 1466-1467 ◽  
Author(s):  
B. Riou ◽  
Ch Richard ◽  
A. Rimailho ◽  
Ph Auzepy

BMJ ◽  
1998 ◽  
Vol 316 (7149) ◽  
pp. 1944-1945 ◽  
Author(s):  
A M Cyna ◽  
J L Hovenden ◽  
A Lehmann ◽  
K Rajaseker ◽  
P Kalia

2008 ◽  
Vol 13 (2) ◽  
pp. 48-55 ◽  
Author(s):  
Katharina Bolz ◽  
Prabha Ramritu ◽  
Kate Halton ◽  
David Cook ◽  
Nicholas Graves

2000 ◽  
Vol 21 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Jean-Christophe Lucet ◽  
Jan Hayon ◽  
Fabrice Bruneel ◽  
Jean-Louis Dumoulin ◽  
Marie-Laure Joly-Guillou

AbstractWe compared, in three intensive care units, colonization of hubs with hub protection boxes or hubs with needleless closed connectors; 137 central venous catheters and 451 hubs were randomized in two groups with similar characteristics. Catheter and hub colonization were not different between the two groups. Among 30 colonized catheters, the same isolate was found in only two hubs; hub contamination rarely is responsible for catheter colonization in short-term catheters. Further studies are required to evaluate the benefit of protected hubs compared with unprotected hubs.


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