Subclavian hemodialysis catheter infections: a prospective, randomized trial of an attachable silver-impregnated cuff for prevention of catheter-related infections.

Abstract

OBJECTIVE:

To determine if an attachable silver-impregnated cuff is effective in reducing subclavian hemodialysis catheter-related infections.

DESIGN:

Prospective, randomized, nonblinded study.

SETTING:

Community teaching hospital.

PATIENTS:

One hundred one acute and chronic renal failure patients requiring subclavian venipuncture and catheterization. After randomization, 47 patients underwent subclavian catheterization with a silver-impregnated cuff (Ag-CC), and 54 patients had routine catheter (RC) placements.

MEASUREMENTS:

Multiple presumed predictor variables for catheter-related infections, exit site infection rate, bacteremia rates, and semiquantitative cultures of all catheters.

• Authors: P J Dahlberg, W A Agger, J R Singer, W R Yutuc, K L Newcomer, A Schaper, B L Rooney
• Journal: Infection control and hospital epidemiology (Infect Control Hosp Epidemiol) Vol. 16 Issue 9 Pg. 506-11 (Sep 1995) ISSN: 0899-823X [Print] United States
• PMID: 8537627 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Chemical References

• Silver

Topics

• Analysis of Variance
• Bacterial Infections (etiology, prevention & control)
• Catheterization, Central Venous (adverse effects, instrumentation)
• Female
• Humans
• Male
• Middle Aged
• Odds Ratio
• Prospective Studies
• Renal Dialysis (adverse effects)
• Silver (therapeutic use)
• Staphylococcal Infections (etiology, prevention & control)
• Subclavian Vein
• Survival Analysis