Antimicrobial Central Venous Catheter Dose Not Reduce Catheter-related Bacteremia in Major Burn Injured Patients.
- Author:
Young Ho JANG
1
;
Yong Hoon SON
;
Sang Kyu KIM
;
Joon Mo PARK
;
Mi Young LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Pureun Hospital Burn Center, Daegu, Korea. weonjo@pnuyh.co.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Burn;
Catheter-related infections;
Sepsis
- MeSH:
Bacteremia;
Body Surface Area;
Burns;
Catheter-Related Infections;
Catheterization;
Catheters;
Central Venous Catheters;
Colon;
Humans;
Rivers;
Sepsis
- From:Journal of Korean Burn Society
2011;14(1):30-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We previously reported that antimicrobial central venous catheter (CVC) reduced catheter colonization in major burn patients. In this study, we investigated whether antimicrobial CVC could reduce catheter-related blood stream infection (CRBSI) in major burn patients. METHODS: Burn patients with over 20% of total body surface area were randomly assigned to undergo catheterization with standard CVC (STD group, n=50) or antimicrobial Vantex(R) CVC (VTX group, n=50). Upon removal of CVC, bacterial cultures for wound, catheter tip, and blood were performed. RESULTS: Colonization rate was significantly decreased in VTX group (42%) compared to STD group (64%) (P<0.05). Colonization rate was higher in the case of the distance between the catheterization and burn wound was less than 10 cm in STD group (P<0.05). However, there was no statistical difference in CRBSI rate between the two groups (P>0.05). CONCLUSION: Even though the antimicrobial CVC could reduce the catheter colonization, the CRBSI rate was not reduced by antimicrobial CVC in major burn patients.
