Skin antisepsis for reducing central venous catheter-related infections

This review concludes that it is not clear whether cleaning skin around CVC insertion sites with antiseptic reduces catheter related blood stream infection vs. no skin cleansing. Very low quality evidence suggests chlorhexidine may reduce rates of infection and catheter colonisation vs. povidone iodine.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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ConclusionsThis study highlights the value of sequence analysis as a tool for solving medico-legal conflicts. The High Court of Justice found that a health worker's re-use of a contaminated needle resulted in the nosocomial transmission of HCV.
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research
Authors: Achaibar K, Waldmann C, Taccone FS Abstract INTRODUCTION: Pulmonary embolism is common in critical care patients and carries significant morbidity and mortality. Concurrent risk of severe bleeding in this population may prohibit anticoagulation. Areas covered: The Angel Catheter device is a central venous catheter combined with an inferior vena cava filter inserted at the bedside for pulmonary embolism prevention. Our review examines the role of this device, safety, efficacy and the limitations it presents. Expert opinion: We conclude the Angel catheter should be considered in critical care patients with s...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research
Conditions:   Catheter Thrombosis;   Catheter-Related Infections;   Central Venous Catheter Related Bloodstream Infection;   Central Venous Catheter Thrombosis Intervention:   Sponsor:   Zhujiang Hospital Enrolling by invitation
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: Longo F, Piliego C, Agrò FE Abstract Catheter misplacement is a common complication during central vein catheterisation, and during subclavian vein catheterisation, one of the most common misplacements of the catheter is the ipsilateral internal jugular vein. Facing this type of misplacement, we tried to find an ultrasound-guided method to reposition the guidewire during subclavian vein catheterisation in adults. PMID: 30757941 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
We present a central venous catheter misplacement case. A left internal jugular vein percutaneous introducer was inserted for fluid resuscitation with a single-lumen infusion catheter placed through the lumen for medication infusions. Placement was performed under ultrasound guidance, with confirmation of the wire within the venous lumen. Radiographs suggested that the introducer had perforated the innominate vein. Contrast was injected through the single-lumen infusion catheter and showed cannulation of the left internal mammary vein. The link between portal hypertension and increased risk of central line misplacement as ...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
Publication date: Available online 13 February 2019Source: The Lancet HaematologyAuthor(s): Marie-Claude Pelland-Marcotte, Catherine Tucker, Alicia Klaassen, Maria Laura Avila, Ali Amid, Nour Amiri, Suzan Williams, Jacqueline Halton, Leonardo R BrandãoSummaryBackgroundLittle is known about severe pulmonary embolism in children. We aimed to report pulmonary embolism outcomes, identify risk factors for unfavourable outcomes, and evaluate the discriminative ability of two clinical-severity indices in children.MethodsIn this retrospective cohort study, we included consecutive patients aged 18 years or younger with acute...
Source: The Lancet Haematology - Category: Hematology Source Type: research
Conclusions: Based upon anatomical and case studies, we have found that AV may join posterior aspect of superior vena cava at different directions and levels. Hence, this might explain why AV misplacement might occur whether an HDC is inserted from the LIJV or RIJV approach. By raising the awareness of this potential complication and how we may minimize it, we hope to reduce the future complication of AV misposition.Blood Purif
Source: Blood Purification - Category: Hematology Source Type: research
CONCLUSIONS: Central venous stenosis occurred in a minority of patients on hemodialysis, and was associated with compromised future access, but unchanged survival. Among patients with a history of catheter use, risk related to both the number of catheters and the total catheter duration, although nondialysis factors such as pacemakers were also important. Central venous stenosis risk was lower in older patients, supporting the selective use of tunneled catheters in this group. PMID: 30765534 [PubMed - as supplied by publisher]
Source: Clinical Journal of the American Society of Nephrology : CJASN - Category: Urology & Nephrology Authors: Tags: Clin J Am Soc Nephrol Source Type: research
CONCLUSION: Use of PICC for chemotherapy administration was associated with a low all-AEs rate. The basilic vein was the safer site, and valved systems had fewer AEs than open systems. More research is needed to explore the interaction between AEs, sex, and age. IMPLICATIONS FOR PRACTICE: These findings provide clinicians with evidence that peripherally inserted central catheters (PICCs) are safe for chemotherapy administration. They also suggest that clinicians should limit the use of open systems when long chemotherapy regimens are scheduled. Moreover, alternatives to PICCs should be considered when administering ch...
Source: The Oncologist - Category: Cancer & Oncology Authors: Tags: Oncologist Source Type: research
DiscussionThe study will provide high-quality evidence to determine whether the Multiline NEO device reduces the risk of CRB in preterm newborns in NICUs or not.Trial registrationClinicalTrials.gov,NCT02633124. Registered on 7 December 2015.
Source: Trials - Category: Research Source Type: clinical trials
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