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一项多中心、随机、对照试验的研究方案,旨在评估抗菌中心静脉导管与普通中心静脉导管在降低中国重症患者导管相关感染方面的有效性。

Study protocol for a multicentre, randomised, controlled trial to assess the effectiveness of antimicrobial central venous catheters versus ordinary central venous catheters at reducing catheter related infections in critically ill Chinese patients.

作者信息

Wu Minming, Chen Yao, Du Bin, Kang Yan

机构信息

Department of Critical Care Medicine, Sichuan University West China Hospital, Chengdu, China.

Medical Intensive Care Unit, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Peking Union Medical College, Beijing, China.

出版信息

BMJ Open. 2017 Dec 29;7(12):e016564. doi: 10.1136/bmjopen-2017-016564.

Abstract

INTRODUCTION

Catheter use is associated with many complications and is an iatrogenic source of morbidity and mortality in intensive care units (ICU). The catheter being studied (Certofix Protect) was developed to reduce the risk of catheter related infections. This clinical trial will compare the safety and efficiency of Certofix Protect with that of an ordinary Certofix catheter.

METHODS AND ANALYSIS

In this multicentre trial, we will randomly assigned dual lumen central venous catheterisation (≥5 ds) in patients in the adult ICU to the antimicrobial central venous catheter (CVC) group or the ordinary CVC group. We plan to recruit 12-16 medical centres in China. Our main objective is to assess the effectiveness of antimicrobial CVCs in reducing catheter related bloodstream infection (CRBSI), all cause mortality, catheter colonisation, catheter related thrombosis and other catheter related complications. The primary outcome is the incidence of CRBSI.

ETHICS AND DISSEMINATION

The ethics committee of West China Hospital of Sichuan University has granted ethics approval for this study (27 January 2015). The results will be published in peer reviewed journals and presented at conferences.

TRIAL REGISTRATION NUMBER

NCT02645682.

摘要

引言

在重症监护病房(ICU)中,使用导管会引发多种并发症,是发病和死亡的医源性因素。正在研究的导管(Certofix Protect)旨在降低与导管相关感染的风险。本临床试验将比较Certofix Protect与普通Certofix导管的安全性和有效性。

方法与分析

在这项多中心试验中,我们将把成年ICU患者的双腔中心静脉置管(≥5天)随机分配至抗菌中心静脉导管(CVC)组或普通CVC组。我们计划在中国招募12 - 16个医疗中心。我们的主要目标是评估抗菌CVC在降低导管相关血流感染(CRBSI)、全因死亡率、导管定植、导管相关血栓形成及其他导管相关并发症方面的有效性。主要结局是CRBSI的发生率。

伦理与传播

四川大学华西医院伦理委员会已批准本研究的伦理申请(2015年1月27日)。研究结果将发表在同行评审期刊上,并在会议上展示。

试验注册号

NCT02645682。

相似文献

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Dressings and securement devices for central venous catheters (CVC).中心静脉导管(CVC)的敷料和固定装置。
Cochrane Database Syst Rev. 2015 Sep 10;2015(9):CD010367. doi: 10.1002/14651858.CD010367.pub2.

本文引用的文献

6
Guidelines for the prevention of intravascular catheter-related infections.血管内导管相关感染预防指南。
Am J Infect Control. 2011 May;39(4 Suppl 1):S1-34. doi: 10.1016/j.ajic.2011.01.003.

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