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NEW YORK DAWN™ > Blog > Health > Danger of system failure related with completely different peripherally inserted central catheter supplies
Danger of system failure related with completely different peripherally inserted central catheter supplies
Health

Danger of system failure related with completely different peripherally inserted central catheter supplies

Last updated: January 10, 2025 2:57 am
Editorial Board Published January 10, 2025
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For sufferers referred for peripherally inserted central catheters (PICCs), the danger for system failure just isn’t decrease with hydrophobic or chlorhexidine PICCs versus normal polyurethane ones, based on a examine revealed within the New England Journal of Drugs.

Amanda J. Ullman, Ph.D., from the College of Queensland in Brisbane, Australia, and colleagues carried out a randomized, managed, superiority trial in three tertiary hospitals involving adults and kids who have been referred for PICC placement. Contributors have been randomly assigned to obtain a hydrophobic or chlorhexidine PICC or a typical polyurethane PICC (365, 365, and 368, respectively) and have been adopted for eight weeks.

The researchers discovered that system failure occurred in 5.9, 9.9, and 6.1% of individuals within the hydrophobic, chlorhexidine, and normal polyurethane teams, respectively (danger distinction: hydrophobic versus normal polyurethane, −0.2 proportion factors [95% confidence interval, −3.7 to 3.2; P = 0.89]; chlorhexidine versus normal polyurethane, 3.8 proportion factors [95% confidence interval, −0.1 to 7.8; P = 0.06]).

The chances ratio for system failure was 0.96 (95% confidence interval, 0.51 to 1.78) and 1.71 (95% confidence interval, 0.98 to 2.99) within the hydrophobic versus the standard-polyurethane group and within the chlorhexidine versus the standard-polyurethane group, respectively. Problems from any trigger through the interval of PICC placement occurred in 21.5, 38.6, and 21.7% within the hydrophobic, chlorhexidine, and standard-polyurethane teams, respectively.

“The current findings reflect the complexity in preventing multifactorial PICC dysfunction, with no apparent difference in the incidence of device failure or of catheter-acquired bloodstream infection according to PICC type,” the authors write.

Extra info:
Amanda J. Ullman et al, A Comparability of Peripherally Inserted Central Catheter Supplies, New England Journal of Drugs (2025). DOI: 10.1056/NEJMoa2406815

2025 HealthDay. All rights reserved.

Quotation:
Danger of system failure related with completely different peripherally inserted central catheter supplies (2025, January 9)
retrieved 9 January 2025
from https://medicalxpress.com/information/2025-01-device-failure-similar-peripherally-inserted.html

This doc is topic to copyright. Aside from any truthful dealing for the aim of personal examine or analysis, no
half could also be reproduced with out the written permission. The content material is supplied for info functions solely.

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