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We, the researchers at Centre National de Greffe de Moelle Osseuse, have shown in a randomised study (in press), that a low dose of unfractionated heparin (100 IU/kg/daily) was safe and effective to prevent catheter-related bloodstream infection in patients with haemato-oncological disease.
The aim of this prospective randomised controlled trial is to compare the incidence of catheter-related bloodstream infection in 2 groups of patients with haemato-oncological disease:
Studies have shown that catheter-related infection may be due to fibrin deposition associated with catheters. Interventions designed to decrease fibrin deposition and thrombus formation have the potential to reduce catheter-related infections. Seven randomised studies have been performed to assess the safety and efficacy of heparin (either as an infusion or bonded to central venous catheter) on central venous catheter-related bloodstream infections. Although a meta-analysis of 4 studies looking at heparin either as an infusion or bonded to central venous catheter showed a strong trend for a reduction in catheter-related bloodstream infection with the use of heparin, these studies used variable definitions of catheter-related infections.
We have shown in a randomised study (in press), that low dose of unfractionated heparin (100 IU/kg/daily) was safe and effective to prevent catheter-related bloodstream infection in patients with haemato-oncological disease. The aim of this prospective randomised controlled trial is to compare the incidence of catheter-related bloodstream infection in 2 groups of patients with haemato-oncological disease:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| heparin impregnated central venous catheters | Device |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of catheter-related bloodstream infection in 2 groups of patients with haemato-oncological disease | ||
| Group A: heparin impregnated catheters | ||
| Group B: continuous infusion of low dose unfractionated heparin (100IU/kg/d) through non-impregnated catheter. |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of variables that may be significant for the development of catheter-related bloodstream infection (catheter-related thrombosis; age; underlying disease; side of venous puncture; duration of catheterization) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Abderrahman Abdelkefi, MD | Centre National de Greffe de Moelle Osseuse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre National de Greffe de Moelle Osseuse | Tunis | Tunis Governorate | 1006 | Tunisia |
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| ID | Term |
|---|---|
| D007239 | Infections |
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