Subclavian hemodialysis catheter infections: a prospective, randomized trial of an attachable silver-impregnated cuff for prevention of catheter-related infections.
OBJECTIVE
To determine if an attachable silver-impregnated cuff is effective in reducing subclavian hemodialysis catheter-related infections.


METHODS
Prospective, randomized, nonblinded study.


METHODS
Community teaching hospital.


METHODS
One hundred one acute and chronic renal failure patients requiring subclavian venipuncture and catheterization. After randomization, 47 patients underwent subclavian catheterization with a silver-impregnated cuff (Ag-CC), and 54 patients had routine catheter (RC) placements.


METHODS
Multiple presumed predictor variables for catheter-related infections, exit site infection rate, bacteremia rates, and semiquantitative cultures of all catheters.
Section of Nephrology, Gundersen Clinic, Ltd, La Crosse, WI 54601, USA.
P J
PJ
Dahlberg
W A
WA
Agger
J R
JR
Singer
W R
WR
Yutuc
K L
KL
Newcomer
A
A
Schaper
B L
BL
Rooney
D000704:Analysis of Variance; D001424:Bacterial Infections / Q000209:etiology / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011446:Prospective Studies; D006435:Renal Dialysis / Q000009:adverse effects*; D012834:Silver / Q000627:therapeutic use*; D013203:Staphylococcal Infections / Q000209:etiology / Q000517:prevention & control; D013350:Subclavian Vein; D016019:Survival Analysis
D012834:Silver