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A comparison of tunnelled and nontunnelled subclavian vein catheters: a prospective study of complications during parenteral feeding.
MedLine Citation:
PMID:  16829409     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Forty-four silastic catheters in 38 surgical patients, nursed in general surgical wards, were inserted under aseptic conditions by the infraclavicular subclavian route. The catheters were randomly allocated to non-tunnelled (NT) (n = 24) or tunnelled (T) (n = 20) groups. Catheters were removed on completion of intravenous feeding or clinical suspicion of catheter infection, and the catheter tip and blood samples taken through the catheter and from the peripheral vein were cultured. There was no significant difference between the two groups in terms of bacteriological infection (defined as two or more cultures of the same organism), clinical infection (defined by elevated temperature returning to normal after catheter removal) and combined infection (when both bacteriological and clinical infection co-existed). When the number of infected catheters was related to the duration of catheter insertion, the incidence of combined catheter related sepsis was reduced with tunnelling (NT: one infected catheter per 35 catheter days, T: one infected catheter per 89 catheter days). This study highlights the risks of subclavian vein catheterisation and emphasises the difficulties in defining catheter sepsis but suggests that its incidence may be reduced if skin tunnelling is employed.
Authors:
O J Garden; A J Sim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  2     ISSN:  0261-5614     ISO Abbreviation:  Clin Nutr     Publication Date:  1983 Apr 
Date Detail:
Created Date:  2006-07-10     Completed Date:  2008-06-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  -    
Affiliation:
University Department of Surgery and Surgical Nutritional Advisory Group, Royal Infirmary, Glasgow, G31 2ER UK.
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