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Antimicrobial protection options in central venous catheters – Overview


Authors: Křikava Ivo;  Ševčík Pavel
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny FN Brno a LF MU Brno
Published in: Anest. intenziv. Med., 19, 2008, č. 4, s. 210-217
Category: Intesive Care Medicine - Review Article

Overview

Central venous catheters (CVC) take indispensable place in caring for critically ill patients. Catheter-related infections increase morbidity and mortality. In the article basic CVC protection methods are mentioned with accent on overview of catheters available on the market. Overviews of meta-analyses and several methodological flaws of recent studies are also referred. Meta-analyses showed that anti-infective CVCs reduce the risk of catheter-related blood stream infections, but their routinely use is still not recommended. However, the use of anti-infective CVCs should be considered, when background rates of catheter-related infections are high.

Key words:
central venous catheter – catheter-related infections – impregnated catheter – coated catheter – chlorhexidine – silver sulfadiazine – minocycline – rifampicin


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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