Rifampicin–miconazole-impregnated catheters save cost in jugular venous sites with tracheostomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12-22

AUTHORS

L. Lorente, M. Lecuona, M. J. Ramos, A. Jiménez, M. L. Mora, A. Sierra

ABSTRACT

Antimicrobial-impregnated catheters are more expensive than standard catheters (S-C). A higher incidence of catheter-related bloodstream infection (CRBSI) has been found in jugular venous access with tracheostomy than without tracheostomy. The objective of this study was to determine central venous catheter (CVC)-related costs (considering only the cost of the CVC, diagnosis of CRBSI, and antimicrobial agents used to treat CRBSI) using rifampicin–miconazole-impregnated catheters (RM-C) or S-C in jugular venous access with tracheostomy. We performed a retrospective cohort study of patients admitted to the intensive care unit (ICU) with tracheostomy who received one or more jugular venous catheters. RM-C showed a lower incidence of CRBSI compared with S-C (0 vs. 20.16 CRBSI episodes/1,000 catheter-days; odds ratio = 0.05; 95% confidence interval = 0.001–0.32; p < 0.001) and lower CVC-related costs (including the cost of the CVC, diagnosis, and treatment of CRBSI) (€11.46 ± 6.25 vs. €38.11 ± 77.25; p < 0.001) in jugular venous access with tracheostomy. The use of RM-C could reduce CVC-related costs in jugular venous access with tracheostomy. The results of our study may contribute to clinical decision-making and selection of those patients who could benefit from the use of antimicrobial-impregnated catheters. More... »

PAGES

1833-1836

References to SciGraph publications

  • 2009-04-16. Influence of tracheostomy on the incidence of central venous catheter-related bacteremia in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
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    http://scigraph.springernature.com/pub.10.1007/s10096-011-1508-3

    DOI

    http://dx.doi.org/10.1007/s10096-011-1508-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1042874367

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/22187350


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