ICU Patients Requiring a Central Venous Access
Conditions
Keywords
Central venous catheter, Skin disinfection, Antisepsis, Nosocomial infection, Catheter infection
Brief summary
The best antiseptic solution for cateheter care remains unknown.High concentration in aquous solution or low concentration in alcoholic solution of chlorhexidine actbetter than povidone iodine in aquous solutions. No study has compare alcoholic formulations of low concentration of chlorhexidine and povidone iodine for skin disinfection prior to insertion of central venous catheters. To compare the incidence of central venous catheter colonization after skin disinfection with either an alcoholic solution of povidone iodine or a combination of 0.5% chlorhexidine, 0.025% Benzalkonium and 4% benzylic alcohol. To compare the incidence of catheter related bacteremia in the to study groups. To compare the local and general tolerance of the two antiseptic formulations
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 yeras of age * Requiring an internal jugular or sub-clavian central venous catheter for their care during at least 72 h * Informed consent signed up
Exclusion criteria
* Bacteriemic infection not under control * extensive cutaneous infection * Women with childbearing potential
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevention of catheter colonization | — |
Secondary
| Measure | Time frame |
|---|---|
| Prevention of catheter related bacteremia | — |
| Prevention of a positive culture of the catheter whaterver the threshold | — |
| Local and general tolerance | — |
Countries
France