S. Loo et al., INFECTION IN CENTRAL LINES - ANTISEPTIC-IMPREGNATED VS STANDARD NON-IMPREGNATED CATHETERS, Anaesthesia and intensive care, 25(6), 1997, pp. 637-639
We report a survey of 196 consecutive central venous catheters (CVCs)
placed in 151 patients in the Intensive Care Unit (ICU) over a ten-mon
th period Over this time the use of a new antiseptic-impregnated tripl
e lumen CVC (Arrowgard Blue, Arrow International Inc., Pennsylvania, U
.S.A.) was alternated on a bimonthly basis with the standard triple-lu
men CVC (Arrow International Inc., Pennsylvania U.S.A.). The overall r
ate of CVC tip infection was lower in the impregnated CVC group (15.6%
vs 30.9%, P<0.05). The impregnated CVC group had a much lower cumulat
ive infection rate when the dwell time in patients was five days or le
ss (3.3% vs 26.9%, P<0.05). However; the difference between the cumula
tive infection rate was not statistically significant (P>0.05) for dwe
ll times of 6, 7 or 8 days respectively. There was no difference in th
e CVC related bacteraemia rates between the two groups (3.9% vs 3.7%,
P>0.05).