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Báo cáo y học: "Antimicrobial catheters in the ICU: is the juice worth the squeeze"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Antimicrobial catheters in the ICU: is the juice worth the squeeze? | Available online http ccforum.eom content 13 3 148 Commentary Antimicrobial catheters in the ICU is the juice worth the squeeze Nasia Safdar Section of Infectious Diseases Department of Medicine University of Wisconsin Medical School H4 572 600 Highland Avenue Madison WI 53792 USA Corresponding author Nasia Safdar ns2@medicine.wisc.edu Published 20 May 2009 This article is online at http ccforum.com content 13 3 148 2009 BioMed Central Ltd Critical Care 2009 13 148 doi 10.1186 cc7793 See related research by Halton et al. http ccforum.com content 13 2 R35 Abstract Catheter-related bloodstream infection is one of the most serious complications of central venous access devices. Antimicrobial-coated catheters represent one novel strategy to prevent catheter-related bloodstream infection. A comprehensive economic evaluation is essential to guide informed decision-making regarding the adoption of this technology and its expected benefits in healthcare institutions. Doubt is not a pleasant condition but certainty is absurd. Voltaire In the previous issue of Critical Care Halton and colleagues provided a comprehensive cost-effectiveness analysis comparing antimicrobial catheters with uncoated catheters for prevention of catheter-related bloodstream infection BSI in the intensive care unit 1 . Central venous access is essential in critically ill neonates requiring parenteral alimentation and in children and adults requiring intensive cancer chemotherapy bone marrow or solid organ transplants home antibiotic therapy hemodialysis or total parenteral nutrition 2 3 . Upwards of 5 million US patients require prolonged central venous access each year 4 5 . Although reliable these devices are nonetheless associated with a considerable risk of catheter-related BSI with approximately 80 000 catheter-related BSIs occurring in the United States annually. While mortality attributable to catheter-related BSI is uncertain because of conflicting findings from studies 6-9 there is no doubt