Evidence map›Paper›PMID 29106034›Full record

Trial reportJournal of biomedical materials research. Part B, Applied biomaterials2018

Evaluation of central venous catheters coated with a noble metal alloy-A randomized clinical pilot study of coating durability, performance and tolerability.

Gunilla Björling, Dorota Johansson, Linda Bergström, Anton Strekalovsky, Javier Sanchez, Claes Frostell, Sigridur Kalman

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of biomedical materials research. Part B, Applied biomaterials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Safety and complications of antimicrobial coated compared to conventional intramedullary femoral nails in proximal femoral fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  5. Article
  6. Article
  7. Review
  8. Article
  9. Systematic Comparison of Epidemic and Non-Epidemic Carbapenem ResistantFrontiers in cellular and infection microbiology · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Gunilla BjörlingThe Swedish Red Cross University College, Stockholm, Sweden.
Dorota JohanssonBactiguard® AB, Stockholm, Sweden, Sweden.
Linda BergströmBactiguard® AB, Stockholm, Sweden, Sweden.
Anton StrekalovskyDepartment Anesthesia and Intensive Care, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Javier SanchezDanderyd Hospital, Division of Anaesthesia and Intensive Care, Department of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.
Claes FrostellDanderyd Hospital, Division of Anaesthesia and Intensive Care, Department of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.
Sigridur KalmanDepartment Anesthesia and Intensive Care, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Bactiguard (Sweden) · SEGlanrhyd Hospital · GBKarolinska University Hospital · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of Central Venous Catheters (CVCs) commonly results in complications. Coatings with silver or metal alloys can reduce the risk associated with the use of CVC. We have evaluated the durability of a noble metal coated CVC (the Bactiguard Infectious Protection, BIP CVC) and compared with an uncoated CVC for clinical tolerability (Adverse Events, AEs) and performance, in order to create a baseline for a large future study. Patients undergoing major surgery, randomised at a 2:1 ratio to BIP CVC (n = 22) or standard CVC (n = 12), were catheterized 9 - 12 days, respectively. Adverse events, microbial colonization and metal release were measured.

findingsThere were no AEs in the BIP CVC-group, but 5 AEs occurred in 4 patients (1 patient had 2 AEs) in the standard CVC-group, p = 0.011 (whereof 3 were catheter related). The BIP CVC showed an initial release of coating metals in blood (gold, silver and palladium), which rapidly decreased and were far below Permitted Paily Exposure (PDE) for chronical use. The levels of silver concentration were far below those needed to develop microbial resistance. The performance was equal, and there was no difference concerning microbial colonization, for the two CVCs.

conclusionIn this pilot study the BIP CVC had significantly lower AEs and showed a comparable performance to the standard CVC. The coating was durable throughout the study length (up to 16 days) and toxicological evaluation showed good safety margins. Larger studies are needed. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 2337-2344, 2018.

Indexed as

Central Venous CathetersAdultAlloysCatheter-Related InfectionsCoated Materials, BiocompatibleFemaleHumansMaleTime FactorsAlloysCoated Materials, Biocompatiblecentral venous cathetercolonizationnoble metal alloy coatingperformancetolerability

Identifiers

PMID29106034
PMCPMC6175140
OpenAlexW2767272792

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.