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Clinical, prospective, single-center, national trial. open and randomized at 1: 1 to compare the rate of bacteremia associated between non-tunneled Central venous catheter and peripheral inserted central catheter.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental CVC | Experimental | CVC insertion Non-tunneled Central venous catheter insertion |
|
| Experimental PICC | Experimental | PICC insertion Peripherally inserted catheter |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CVC | Device | The inclusion of any CVC is an aseptic technique, so hand washing, mask, cap is required, sterile gloves and scoping insertion using sterile drapes. The skin disinfection is carried out with 2% chlorhexidine alcohol 17, to be dried completely before insertion of the catheter (30 seconds). No prophylactic antibiotic was administered before insertion. In the case of CVC, the subclavian vein of choice will be followed by the femoral and jugular. Seldinger technique with direct radiation control in the operating room is used. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Bacteraemia | Number of participants with Bacteraemia from insertion until 30 days after remove of the catheter | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| morbidities in catheter insertion | Number of participants with complications during catheter insertion | 1 day |
| Comparison of morbidities during manipulation of the catheters | Number of participants with complications during manipulation of the catheters |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de la Santa Creu i Sant Pau | Barcelona | 08025 | Spain |
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| ID | Term |
|---|---|
| D055499 | Catheter-Related Infections |
| D014115 | Toxemia |
| ID | Term |
|---|---|
| D007239 | Infections |
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| PICC | Device | The inclusion of any PICC is an aseptic technique, so hand washing, mask, cap is required, sterile gloves and scoping insertion using sterile drapes. The skin disinfection is carried out with 2% chlorhexidine alcohol 17, to be dried completely before insertion of the catheter (30 seconds). No prophylactic antibiotic was administered before insertion. PICC vein of choice is the basilica vein with help of Ecography in the interventional radiology room. |
|
| 30 days |
| 30 days Mortality | Number of died participants | 30 days |
| Visual analogic scale of Pain | Visual analogic scale of Pain in site of insertion from insertion until remove of the catheter | 30 days |
| Health-care costs | Economic study of the whole procedure including complications | 30 days |