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This study aimed to assess effectiveness of a taurolidine based lock solution in preventing the infections of central venous catheter (CVC) in intensive care unit (ICU) cases.
The central venous catheter (CVC) is highly frequent in the intensive care unit (ICU), with an average use rate between 32% and 80% among adult ICU patients. The utilization of CVC in ICUs has escalated over the past decade, accompanied by a corresponding increase in problems related to their usage.
Taurolidine is a nontoxic substance having antibacterial impacts counter to mutually gram-positive and -negative bacteria, additionally to fungus. It decreases biofilm development and doesn't develop resistance to antibiotics, since it serves as an antiseptic rather than an antibiotic Consequently, it may function as a locking mechanism.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Placebo Comparator | Central venous catheters (CVCs) were locked with 2ml saline as a control group. |
|
| Group II | Experimental | Central venous catheters (CVCs) were locked with 2ml of a solution comprising tigecycline 5mg/ml and heparin 500 IU/ml. |
|
| Group III | Experimental | Central venous catheters (CVCs) were locked with 2ml of a solution containing taurolidine-citrate-heparin (1.35% taurolidine, 4% citrate, and 500 IU/ml heparin). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saline | Drug | Central venous catheters (CVCs) were locked with 2ml saline as a control group. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Positive bacterial growth | Positive bacterial growth of a swab was recorded. | 30 days after the procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of catheter-related bloodstream infection | Assessment of catheter-related bloodstream infection was recorded. | 30 days after the procedure |
| Assessment of central venous catheter infection |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | El-Gharbia | 31527 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| Tigecycline and heparin |
| Drug |
Central venous catheters (CVCs) were locked with 2ml of a solution comprising tigecycline 5mg/ml and heparin 500 IU/ml. |
|
| Taurolidine-citrate-heparin | Drug | Central venous catheters (CVCs) were locked with 2ml of a solution containing taurolidine-citrate-heparin (1.35% taurolidine, 4% citrate, and 500 IU/ml heparin). |
|
Assessment of central venous catheter (CVC) infection was recorded.
| 30 days after the procedure |
| Lenght of intensive care unit stay | Lenght of intensive care unit (ICU) stay was recorded. | 30 days after the procedure |
| Incidence of mortality | Incidence of mortality was recorded. | 30 days after the procedure |
| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| D000078304 | Tigecycline |
| D006493 | Heparin |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D013754 | Tetracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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