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KMID : 0853020110140010030
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Journal of Korean Burn Society
2011 Volume.14 No. 1 p.30 ~ p.34
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Antimicrobial Central Venous Catheter Dose Not Reduce Catheter-related Bacteremia in Major Burn Injured Patients
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Jang Young-Ho
Son Yong-Hoon
Kim Sang-Kyu
Park Jun-Mo
Lee Mi-Young
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Abstract
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Purpose: We previously reported that antimicrobial central venous catheter (CVC) reduced catheter colonization in major burn patients. In this study, we investigated whether antimicrobial CVC could reduce catheter-related blood stream infection (CRBSI) in major burn patients.
Methods: Burn patients with over 20% of total body surface area were randomly assigned to undergo catheterization with standard CVC (STD group, n=50) or antimicrobial Vantex? CVC (VTX group, n=50). Upon removal of CVC, bacterial cultures for wound, catheter tip, and blood were performed.
Results: Colonization rate was significantly decreased in VTX group (42%) compared to STD group (64%) (P＜0.05). Colonization rate was higher in the case of the distance between the catheterization and burn wound was less than 10 cm in STD group (P＜0.05). However, there was no statistical difference in CRBSI rate between the two groups (P＞0.05).
Conclusion: Even though the antimicrobial CVC could reduce the catheter colonization, the CRBSI rate was not reduced by antimicrobial CVC in major burn patients.
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KEYWORD
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Burn, Catheter-related infections, Sepsis
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