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Curr Opin Clin Nutr Metab Care · May 2001
ReviewEvidence-based prevention of catheter infection during parenteral nutrition.
- A Attar and B Messing.
- Hepato-Gastroenterology Department and Nutritional Support Unit, Approved Centre for HPN in adults for the Ile de France region, Lariboisière Hospital, Paris, France.
- Curr Opin Clin Nutr Metab Care. 2001 May 1; 4 (3): 211-8.
AbstractParenteral nutrition is a risk factor for catheter-related bloodstream infection. Here we reviewed strategies for the prevention of catheter-related infections, which always must begin with the cornerstone of prevention: the strict adherence to aseptic techniques. Most research has been interested in coated catheters. From these results, it may be concluded that antibiotics or antiseptic-impregnated catheters, like those with minocycline-rifampicin or chlorhexidine/silver sulfadiazine, significantly reduce catheter-related blood stream infections. Antibiotics or antiseptic-impregnated central venous catheters may even result in cost saving in intensive care units. Antiseptic or antibiotic-lock techniques would also be of interest to prevent catheter-related sepsis in high-risk patients who are receiving parenteral nutrition.
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