An evidence-based approach to central venous catheter management to prevent catheter-related infection in critically ill patients

Crit Care Clin. 1998 Jul;14(3):411-21. doi: 10.1016/s0749-0704(05)70008-7.

Abstract

A systematic search of the literature yielded 102 randomized controlled trials of interventions aimed at reducing central venous catheter-related infections in critically ill patients. The process of critically appraising these trials has begun and clinicians have performed meta-analyses of the data in some areas. There are three main components to the production of evidence-based guidelines in this area: identification of effective interventions, comparison of the relative merit of effective interventions aimed at the source of infection, and assessment of the applicability of the evidence to diverse sub-populations of critically ill patients.

Publication types

  • Meta-Analysis

MeSH terms

  • Anticoagulants / therapeutic use
  • Bacteremia / prevention & control*
  • Catheterization, Central Venous*
  • Catheters, Indwelling / adverse effects*
  • Catheters, Indwelling / microbiology
  • Confidence Intervals
  • Critical Illness
  • Equipment Contamination
  • Evidence-Based Medicine*
  • Heparin / therapeutic use
  • Humans
  • Information Services
  • Randomized Controlled Trials as Topic

Substances

  • Anticoagulants
  • Heparin