Evidence map›Paper›PMID 30832598›Full record

ArticleBMC infectious diseases2019

Educational interventions alone and combined with port protector reduce the rate of central venous catheter infection and colonization in respiratory semi-intensive care unit.

Riccardo Inchingolo, Giuliana Pasciuto, Daniele Magnini, Manuela Cavalletti, Giancarlo Scoppettuolo, Giuliano Montemurro, Andrea Smargiassi, Riccardo Torelli, Maurizio Sanguinetti, Teresa Spanu and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03486093 (Randomized Clinical Trial on the Role of Port Protectors for the Management of Venous Central Line Catheter in Respiratory Semi-intensive Care Unit.), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

NCT03486093 nacompletednot on this map

Randomized Clinical Trial on the Role of Port Protectors for the Management of Venous Central Line Catheter in Respiratory Semi-intensive Care Unit.

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2013 to 2014Enrolled132ConditionsCentral Line-associated Bloodstream Infection (CLABSI)ArmsTraining and retraining to GAVECELT "bundle" recommendations plus port protector, Training and retraining to GAVECELT "bundle" recommendations
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Disinfectant capsLe infezioni in medicina · 2023
    Article
  5. Review
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

12 authors at 2 institutions in 1 country.

Riccardo InchingoloUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. riccardo.inchingolo@policlinicogemelli.it.ORCID http://orcid.org/0000-0003-2843-9966
Giuliana PasciutoUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Daniele MagniniUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Manuela CavallettiUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Giancarlo ScoppettuoloUOC Malattie Infettive, Fondazione Polcilinico Universitario A. Gemelli IRCCS, Rome, Italy.
Giuliano MontemurroUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Andrea SmargiassiUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Riccardo TorelliUOC Microbiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Maurizio SanguinettiUOC Microbiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Teresa SpanuUOC Microbiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Giuseppe Maria CorboUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Luca RicheldiUOC Pneumologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Agostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCentral Line-Associated BloodStream Infections (CLABSIs) are emerging challenge in Respiratory semi-Intensive Care Units (RICUs). We evaluated efficacy of educational interventions on rate of CLABSIs and effects of port protector as adjuvant tool.

methodsStudy lasted 18 months (9 months of observation and 9 of intervention). We enrolled patients with central venous catheter (CVC): 1) placed during hospitalization in RICU; 2) already placed without signs of systemic inflammatory response syndrome (SIRS) within 48 h after the admission; 3) already placed without evidence of microbiologic contamination of blood cultures. During interventional period we randomized patients into two groups: 1) educational intervention (Group 1) and 2) educational intervention plus port protector (Group 2). We focused on CVC-related sepsis as primary outcome. Secondary outcomes were the rate of CVC colonization and CVC contamination.

resultsEighty seven CVCs were included during observational period. CLABSIs rate was 8.4/1000 [10 sepsis (9 CLABSIs)]. We observed 17 CVC colonizations and 6 contaminations. Forty six CVCs were included during interventional period. CLABSIs rate was 1.4/1000. 21/46 CVCs were included into Group 2, in which no CLABSIs or contaminations were reported, while 2 CVC colonizations were found.

conclusionsOur study clearly shows that both kinds of interventions significantly reduce the rate of CLABSIs. In particular, the use of port protector combined to educational interventions gave zero CLABSIs rate.

trial registrationNCT03486093 [ ClinicalTrials.gov Identifier], retrospectively registered.

Indexed as

AgedAged, 80 and overBlood CultureCatheterization, Central VenousCatheter-Related InfectionsFemaleHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesRetrospective StudiesRiskSepsisCentral line-associated bloodstream infectionsPort protectorRespiratory semi-intensive care unitVenous central catheter

Identifiers

PMID30832598
PMCPMC6398260
OpenAlexW2930035187

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.