caa a22 4500 475831365 CHVBK 20180406123840.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s100960000346 doi (NATIONALLICENCE)springer-10.1007/s100960000346 Clinical Trial Evaluating a New Hub Device Designed to Prevent Catheter-Related Sepsis [Elektronische Daten] [J. Luna, G. Masdeu, M. Pérez, R. Claramonte, I. Forcadell, F. Barrachina, M. Panisello]  A new commercial hub device designed to minimise catheter-related infections was evaluated in a prospective, randomised trial in the intensive care and surgical units of the Hospital de Tortosa Verge de la Cinta in patients in whom the central venous catheters were expected to remain indwelling for at least 7 days. The assessments conducted at catheter withdrawal included cultures of the skin at the catheter site and cultures of the catheter tip and the catheter hubs; moreover, in cases of suspected catheter-related sepsis, samples of peripheral blood and infusion solutions were also cultured. Of the 130 catheters evaluated, 26 (20%) were withdrawn because of suspected catheter-related sepsis; 10 (15%) were in the control group and 16 (24%) in the new product group. Catheter-related sepsis was diagnosed in nine patients, six of whom were in the new product group and three in the control group; all infections in the former group and only one in the latter group were caused by the catheter connection. The rates of catheter hub colonisation (10 cfu) and catheter colonisation (15 cfu in semiquantitative culture and/or >1000 cfu in quantitative culture) of hub origin were not significantly different between the groups (15 cases in the control group vs. 20 cases in the new product group, and 5 cases in the control group vs. 11 cases in the new product group, respectively). The data indicate that the use of the new catheter hub device is no more effective in preventing catheter-related infection than standard good clinical procedures. Springer-Verlag Berlin Heidelberg, 2000 Luna J. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut Masdeu G. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut Pérez M. Department of Microbiology, Hospital de Tortosa Verge de la Cinta, Tortosa, Spain, ES aut Claramonte R. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut Forcadell I. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut Barrachina F. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut Panisello M. Department of Microbiology, Hospital de Tortosa Verge de la Cinta, Tortosa, Spain, ES aut https://doi.org/10.1007/s100960000346 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s100960000346 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Luna J. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut NATIONALLICENCE 700 1- Masdeu G. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut NATIONALLICENCE 700 1- Pérez M. Department of Microbiology, Hospital de Tortosa Verge de la Cinta, Tortosa, Spain, ES aut NATIONALLICENCE 700 1- Claramonte R. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut NATIONALLICENCE 700 1- Forcadell I. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut NATIONALLICENCE 700 1- Barrachina F. Intensive Care Unit, Servei de Medicina Intensiva, Hospital de Tortosa Verge de la Cinta, C/ Esplanetes 44, 43500 Tortosa, Spain e-mail: htvcumi@tinet.fut.es, ES aut NATIONALLICENCE 700 1- Panisello M. Department of Microbiology, Hospital de Tortosa Verge de la Cinta, Tortosa, Spain, ES aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer