CLINICAL TRIAL

Extended dwell catheters for Catheter-Related Infections

Recruiting · 18+ · All Sexes · Royal Oak, MI

This study is evaluating whether a catheter placed in the forearm is as effective as one placed in the upper arm.

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About the trial for Catheter-Related Infections

Eligible Conditions
Vascular Access Complications · IV Catheter-Related Infection or Complication · Peripheral Venous Access · Catheter-Related Infections

Treatment Groups

This trial involves 2 different treatments. Extended Dwell Catheters is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Extended dwell catheters
DEVICE
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.
Extended dwell catheters
DEVICE

Eligibility

This trial is for patients born any sex aged 18 and older. There are 8 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
on the dorsum of the hand after warming up the patient's arm Difficult vascular access means that the patient has no visible veins (>2mm) or palpable veins on the dorsum of the hand after warming up the patient's arm. show original
This study will screen all patients to determine if they are a good candidate for the study based on the size of their veins show original
You must be over 18 years old to enter this site. show original
Inclusion criteria were patients who had a score of 10 or more on the ED Q-CODE© and were at least 18 years old show original
If you need to have a vascular access device (such as a catheter) placed, it is important to speak with your doctor about whether you will be charged VAT. show original
Patient requires peripheral access
Adults >18 years of age
Anticipated hospital admission
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: During hospitalization, up to 30 days
Screening: ~3 weeks
Treatment: Varies
Reporting: During hospitalization, up to 30 days
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: During hospitalization, up to 30 days.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Extended dwell catheters will improve 1 primary outcome and 2 secondary outcomes in patients with Catheter-Related Infections. Measurement will happen over the course of During hospitalization, up to 30 days.

Blood Sampling Functionality
DURING HOSPITALIZATION, UP TO 30 DAYS
Blood sampling ability will be evaluated by daily blood draws prior to patient discharge. The measured outcome is number of days until failure to aspirate blood identified during follow-up assessment during hospitalization.
DURING HOSPITALIZATION, UP TO 30 DAYS
Catheter Dwell time/Survival
DURING HOSPITALIZATION, UP TO 30 DAYS
Functionality of catheter for intravenous therapy prior to patient discharge. The measured outcome is number of days until failure of functionality identified as inability to infuse without resistance during follow-up assessment during hospitalization. Duration of dwell and functional failure of the catheter will be employed to estimate catheter survival.
DURING HOSPITALIZATION, UP TO 30 DAYS
Thrombosis
DURING HOSPITALIZATION, UP TO 30 DAYS
The number of participants with symptomatic catheter-related upper extremity venous thrombosis (CR-UEVT) inclusive of superficial thrombophlebitis (SVT) and deep venous thrombosis (DVT) confirmed by upper extremity venous duplex evaluation.
DURING HOSPITALIZATION, UP TO 30 DAYS

Who is running the study

Principal Investigator
A. B.
Amit Bahl, Director Emergency Medicine Ultrasound
William Beaumont Hospitals

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are common treatments for catheter-related infections?

Catheter-related infections are treated with the most effective treatment used for their etiology: empiric therapy for organisms known to be cultured from the catheter, and treatment of the catheter using appropriate antimicrobial agents for organisms isolated in blood cultures.

Anonymous Patient Answer

How many people get catheter-related infections a year in the United States?

This report from the Healthcare Cost and Utilization Panel of the US Department of Health and Human Services illustrates that infection is a major cause of adverse events associated with the use of PICCs in the United States. This information will help the PICC Center Consortium and the healthcare industry to develop prevention programs that aim to minimize infection risk and its adverse consequences, including the burden on healthcare resources and costs.

Anonymous Patient Answer

What is catheter-related infections?

In this pilot study, no evidence of CRIs after 1 year of CVC placement was observed. Therefore, CRI rates after CVC placement appear to be low.

Anonymous Patient Answer

What are the signs of catheter-related infections?

The following symptoms are related to catheter-related infections: discharge from the catheter, fever, chills, chills with sweating, chills without sweating and/or chills with nausea. There is not enough evidence to draw conclusions about the most common symptoms and causes.

Anonymous Patient Answer

What causes catheter-related infections?

These data provide a compelling argument for the introduction of an early catheter-insertion policy based on the recommendation of all the major national infection committees.

Anonymous Patient Answer

Can catheter-related infections be cured?

At present, interventions such as CVC change and CRI drainage can provide only short-term palliative care to patients with the catheter-related infection of choice and of a nonsevere etiology that is difficult to control with antibiotics. The catheter-related infection itself cannot be cured.

Anonymous Patient Answer

What are the common side effects of extended dwell catheters?

Extended dwell catheters have a rate of percutaneous intervention-related complications that is significantly lower than that of chronic dual-lumen catheters. A low rate of percutaneous intervention-related complications is observed even when the use of catheters for an extended period exceeds 3 weeks.

Anonymous Patient Answer

What is the average age someone gets catheter-related infections?

Although the incidence of catheter-related infections differs significantly among countries and regions, the incidence of catheter-related infections in hospitalized patients with a suspected urinary tract infection is similar in the United States, Great Britain, Spain, Canada, and Australia.

Anonymous Patient Answer

Have there been any new discoveries for treating catheter-related infections?

We will explore the recent literature on catheter infections and propose a framework. We will address our clinical experience in assessing catheter-related infections and summarize current treatments. We will share our insights on managing these infections and treatment complications. We emphasize the importance of education and the implementation of the Joint Commission's surgical core competencies.

Anonymous Patient Answer

What is extended dwell catheters?

The authors found only few cases when echocardiographic detection of thrombus emboli was possible. No cases were detected with echocardiography after an extended dwell time of 72 h. There seems to be no evidence for the formation of thrombus emboli over an extended dwell time.

Anonymous Patient Answer

Is extended dwell catheters safe for people?

Infections with long dwell catheters are rare. Although a low infection rate might be a desirable occurrence, the results of this study suggest that the incidence of serious infection from an extended dwell catheter may be lower than that reported in some studies in the literature. Even though the extended dwell catheter is considered a high-risk device requiring frequent monitoring, a very low, steady-state infection rate in this patient population may be safely maintained by vigilant patient and institutional education.

Anonymous Patient Answer

How does extended dwell catheters work?

[Catheters with prolonged dwell times are safe and effective in children <2 years of age and infants born extremely preterm (27+/-5 weeks of gestation)... The increased likelihood of catheter obstruction with prolonged use is outweighed by the benefits of catheter removal because of clot retention or obstruction.

Anonymous Patient Answer
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