Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-25T15:58:02.368Z Has data issue: false hasContentIssue false

Comparison of central-line–associated bloodstream infections between central venous catheters lined by combined chlorhexidine and silver sulfadiazine versus silver ionotrophes alone: A before–after–before retrospective study

Published online by Cambridge University Press:  11 September 2020

Youssef Z. Abouleish*
Affiliation:
Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, Virginia
Edward C. Oldfield IV
Affiliation:
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Virginia, Charlottesville, Virginia
Paul E. Marik
Affiliation:
Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, Virginia
*
Author for correspondence: Youssef Z. Abouleish, E-mail: abouleyz@evms.edu

Abstract

A before–after–before direct comparison between catheters lined with chlorhexidine and silver sulfadiazine (CHSS) versus silver ionotrophes (SI) with a primary objective of comparison of rate of central-line–associated infection (CLABSI) in three 10-month windows. The CHSS catheters were associated with a lower rate of CLABSI.

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Matheos, T, Heard, SO. Comparison of the duration of antimicrobial activity of 2 different antimicrobial central venous catheters. Infect Control Hosp Epidemiol 2010;31:295297.Google ScholarPubMed
Surveillance definition of healthcare-associate infection and criteria for specific types of infections in the acute care setting. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf. Published 2013. Accessed August 25, 2020.Google Scholar
Fan, C, Wang, L, Wei, L. Comparing two tests for two rates. Am Stat 2017;71:275281.CrossRefGoogle Scholar
Arvaniti, K. Comparison of Oligon catheters and chlorhexidine-impregnated sponges with standard multilumen central venous catheters for prevention of associated colonization and infections in intensive care unit patients: a multicenter, randomized, controlled study. Crit Care Med 2012;40:420429.CrossRefGoogle ScholarPubMed
Corral, L. A prospective, randomized study in critically ill patients using the Oligon Vantex catheter. J Hosp Infect 2003;55:212219.CrossRefGoogle ScholarPubMed
Bong, JJ. Prevention of catheter related bloodstream infection by silver iontophoretic central venous catheters: a randomised controlled trial. J Clin Pathol 2003;56:731735.CrossRefGoogle ScholarPubMed
Niel-Weise, BS, Stijnen, T, van den Broek, PJ. Anti-infective-treated central venous catheters: a systematic review of randomized controlled trials. Intensive Care Med 2007;33:20582068.Google ScholarPubMed
Lai, NM, Chaiyakunapruk, N, Lai, NA et al. Catheter impregnation, coating or bonding for reducing central venous catheter-related infections in adults. Cochrane Database Syst Revs 2013;6:CD007878.Google Scholar