Tunneled hemodialysis catheters: use of a XXXX -coated catheter for prevention of infection--a randomized study.

@entity1 @entity66 @entity575 @entity49 @entity5936 @entity854 @entity715 @entity850 @entity922
PURPOSE: To determine whether @entity575 -coated tunneled hemodialysis catheters reduce infection and to determine the frequency of central @entity49 and @entity850 with percutaneous placement of right internal jugular vein dialysis catheters by interventional radiologists. MATERIALS AND METHODS: Ninety-one @entity1 were randomly assigned to a treatment ( @entity575 -coated catheter; n = 47) or control (identical catheter without @entity575 coating; n = 44) arm. Baseline venography was performed. Catheter tips were cultured and venography was repeated at catheter removal. RESULTS: Mean duration of catheter placement was 92 days. Infection occurred in 11 @entity1 (five in the treatment group, six in the control group). @entity5936 cultures in 15 @entity1 (eight treatment, seven control) were positive without @entity922 . Infection and colonization rates were slightly but not significantly higher in the treatment group than in the control group. @entity575 -coated catheters in two (4%) @entity1 were removed due to reaction to the coating. Completion venograms (n = 72) showed new @entity854 in four (6%) @entity1 and @entity854 ( @entity850 , @entity715 ) in three (4%) @entity1 . Permanent @entity66 occurred in two (3%) @entity1 . CONCLUSION: @entity575 coating does not confer a benefit against @entity922 or colonization. Interventional radiologic placement of tunneled dialysis catheters yields a low frequency of permanent central @entity49 and @entity850 .
