Is 2% chlorhexidine gluconate in 70% isopropyl alcohol more effective at preventing central venous catheter–related infections than routinely used chlorhexidine gluconate solutions: A pilot multicenter randomized trial (ISRCTN2657745)?

作者: Margaret McCann , Fidelma Fitzpatrick , George Mellotte , Michael Clarke

DOI: 10.1016/J.AJIC.2016.02.019

关键词: Relative riskAnesthesiaInfection controlHemodialysisMedicineIsopropyl alcoholConfidence intervalCentral venous catheterRandomized controlled trialClinical trial

摘要: A pilot randomized trial in 3 Irish outpatient hemodialysis units compared 2% chlorhexidine gluconate (CHG) 70% isopropyl alcohol with routinely used CHG solutions for central venous catheter exit site antisepsis. We found no significant difference between the groups prevention of catheter-related bloodstream infections (1/53 vs 2/52; relative risk [RR], 0.49; 95% confidence interval [CI], 0.05-5.25; P  = .55) and catheter-associated 4/52; RR, 0.25; CI, 0.03-2.12;  = .16).

参考文章(5)
B. D. Bray, J. Boyd, C. Daly, K. Donaldson, A. Doyle, J. G. Fox, A. Innes, I. Khan, R. K. Peel, A. Severn, I. Shilliday, K. Simpson, G. A. Stewart, J. Traynor, W. Metcalfe, , Vascular access type and risk of mortality in a national prospective cohort of haemodialysis patients QJM: An International Journal of Medicine. ,vol. 105, pp. 1097- 1103 ,(2012) , 10.1093/QJMED/HCS143
Pietro Ravani, Suetonia C. Palmer, Matthew J. Oliver, Robert R. Quinn, Jennifer M. MacRae, Davina J. Tai, Neesh I. Pannu, Chandra Thomas, Brenda R. Hemmelgarn, Jonathan C. Craig, Braden Manns, Marcello Tonelli, Giovanni F.M. Strippoli, Matthew T. James, Associations between Hemodialysis Access Type and Clinical Outcomes: A Systematic Review Journal of The American Society of Nephrology. ,vol. 24, pp. 465- 473 ,(2013) , 10.1681/ASN.2012070643
Dafna Yahav, Benaya Rozen‐Zvi, Anat Gafter‐Gvili, Leonard Leibovici, Uzi Gafter, Mical Paul, Antimicrobial Lock Solutions for the Prevention of Infections Associated with Intravascular Catheters in Patients Undergoing Hemodialysis: Systematic Review and Meta-analysis of Randomized, Controlled Trials Clinical Infectious Diseases. ,vol. 47, pp. 83- 93 ,(2008) , 10.1086/588667
Robert J. Sherertz, David K. Warren, Leonard A. Mermel, Michael Allon, Emilio Bouza, Donald E. Craven, Patricia Flynn, Naomi P. O'Grady, Issam I. Raad, Bart J. A. Rijnders, Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infection: 2009 Update by the Infectious Diseases Society of America Clinical Infectious Diseases. ,vol. 49, pp. 1- 45 ,(2009) , 10.1086/599376