Extended dwell catheters for Catheter-Related Infections
This study is evaluating whether a catheter placed in the forearm is as effective as one placed in the upper arm.
See full descriptionAbout the trial for 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.
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.
Approximate Timelines
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.
Who is running the study
Principal InvestigatorPatient Q & A Section
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.