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Impact of Different Catheter Lock Strategies on Bacterial Colonization of Permanent Central Venous Hemodialysis Catheters

Published online by Cambridge University Press:  02 January 2015

Stefan Erb ,
Andreas F. Widmer ,
Sarah Tschudin-Sutter ,
Ursula Neff ,
Manuela Fischer ,
Michael Dickenmann  and
Philipp Grosse
Stefan Erb*
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Switzerland
Andreas F. Widmer
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Switzerland
Sarah Tschudin-Sutter
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Switzerland
Ursula Neff
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Switzerland
Manuela Fischer
Affiliation:
Division of Nephrology and Transplantation Immunology, University Hospital of Basel, Switzerland
Michael Dickenmann
Affiliation:
Division of Nephrology and Transplantation Immunology, University Hospital of Basel, Switzerland
Philipp Grosse
Affiliation:
Division of Nephrology and Transplantation Immunology, University Hospital of Basel, Switzerland
*
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland ([email protected])
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Abstract

Thirty-nine hemodialysis patients with permanent central venous catheters were analyzed for bacterial catheter colonization comparing different catheter-lock strategies. The closed needleless Tego connector with sodium chloride lock solution was significantly more frequently colonized with bacteria than the standard catheter caps with antimicrobially active citrate lock solution (odds ratio, 0.22 [95% confidence interval, 0.07–0.71]; P = .011).

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 12 , December 2013 , pp. 1314 - 1317
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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