[Catheter infection in intensive care: influence of systematic replacement of central venous catheters on a guide wire every 4 days]. / Infections sur cathéters en réanimation: influence de l'échange systématique sur guide métallique tous les 4 jours de voies veineuses centrales.
Presse Med
; 26(23): 1089-94, 1997 Jul 05.
Article
em Fr
| MEDLINE
| ID: mdl-9246100
ABSTRACT
OBJECTIVES:
Determine whether systematic replacement of central venous catheters on a guide wire every 4 days leads to a lower rate of catheter infection.METHODS:
We conducted a prospective randomized study comparing systematic catheter replacement with the standard procedure where one-way catheters are left in situ as needed.RESULTS:
The study included 150 patients and 170 catheters. Catheter replacement on a guide wire was performed 169 times. The rate of infection was not significantly different between the group of patients with replacement (3.7 for 1000 catheter days) and the group with systematic replacement (5.4 for 1000 catheter days). No mechanical complications occurred during the replacement procedures on guide wires.CONCLUSION:
We do not recommend systematically replacing catheters on a guide wire for the prevention of catheter infection. This procedure may however be indicated in case of suspected catheter infection as no mechanical of infectious complications occurred.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções Bacterianas
/
Cateterismo Venoso Central
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Presse Med
Ano de publicação:
1997
Tipo de documento:
Article