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Antiseptic‐bonded central venous catheters and bacterial colonisation
Author(s) -
Md. Abdul Hannan,
B. Juste,
Umasanker,
Glendenning,
Nightingale,
Azadian,
) Soni
Publication year - 1999
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.1999.01000.x
Subject(s) - medicine , colonisation , antiseptic , intensive care medicine , surgery , anesthesia , microbiology and biotechnology , colonization , pathology , biology
This study was undertaken to evaluate the impact of chlorhexidine/silver sulphadiazine‐bonded catheters on the incidence of colonisation and catheter‐related sepsis in critically ill patients. Threehundred and fifty‐one catheters were inserted into 228 patients during the study period, 174chlorhexidine/silver sulphadiazine‐bonded catheters and 177 standard catheters. Indications for catheter removal were: death, clinical redundancy and clinical evidence of local or systemic infection. All catheter tips were sent to the microbiology laboratory for semiquantitative analysis of bacterial colony count. Seventy‐one (40.2%) of the standard catheters and 47 (27.2%) of the antiseptic‐bonded catheters were found to be colonised on removal (p < 0.01). Eight cases (4.7%) of catheter‐related sepsis were associated with standard catheters and three cases (1.7%) with antiseptic‐bonded catheters, however, this reduction was not statistically significant. Our results indicate that the use of antiseptic‐bonded catheters in critically ill patients significantly reduces the incidence of bacterial colonisation.