Evidence map›Paper›PMID 33040755›Full record

Trial reportInfection control and hospital epidemiology2021

Alcohol-impregnated caps and ambulatory central-line-associated bloodstream infections (CLABSIs): A randomized clinical trial.

Aaron M Milstone, Carol Rosenberg, Gayane Yenokyan, Danielle W Koontz, Marlene R Miller, CCLIP Authorship Group

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Infection control and hospital epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02351258 (Community Central Line Infection Prevention Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 21% 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.

NCT02351258 nacompletednot on this map

Community Central Line Infection Prevention Trial

TypeinterventionalSponsorJohns Hopkins UniversityRan2015 to 2019Enrolled16ConditionsInfectionArms70% Isopropyl alcohol embedded caps, Usual Care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. Central line-associated bloodstream infections and complications in adult home parenteral nutrition: Observations from a quality improvement initiative.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    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

6 authors at 1 institution in 1 country.

Aaron M MilstoneDepartment of Pediatrics, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Carol RosenbergDepartment of Pediatrics, Division of Quality and Safety, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Gayane YenokyanDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Danielle W KoontzDepartment of Pediatrics, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-0380-8318
Marlene R MillerDepartment of Pediatrics, Division of Quality and Safety, Johns Hopkins University School of Medicine, Baltimore, Maryland.
CCLIP Authorship Group
Johns Hopkins University · US

Funding

Eliminating CLABSIs in Ambulatory PatientsR01HS022870 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI MILSTONE, AARON M · 2014 to 2017
$1.5M
AHRQ HHS R01 HS022870
6 · The paper itself

Abstract

objectiveTo evaluate the effect of 70% isopropyl alcohol-impregnated central venous catheter caps on ambulatory central-line-associated bloodstream infections (CLABSIs) in pediatric hematology-oncology patients.

designThis study was a 24-month, cluster-randomized, 2 period, crossover clinical trial.

settingThe study was conducted in 15 pediatric healthcare institutions, including 16 pediatric hematology-oncology clinics.

participantsAll patients with an external central line followed at 1 of the 16 hematology-oncology clinics.

interventionUsual ambulatory central-line care per each institution using 70% isopropyl alcohol-impregnated caps at home compared to usual ambulatory central-line care in each institution without using 70% isopropyl alcohol-impregnated caps.

resultsOf the 16 participating clinics, 15 clinics completed both assignment periods. As assigned, there was no reduction in CLABSI incidence in clinics using 70% isopropyl alcohol-impregnated caps (1.23 per 1,000 days) compared with standard practices (1.38 per 1,000 days; adjusted incidence rate ratio [aIRR], 0.83; 95% CI, 0.63-1.11). In the per-protocol population, there was a reduction in positive blood culture incidence in clinics using 70% isopropyl alcohol-impregnated caps (1.51 per 1,000 days) compared with standard practices (1.88 per 1,000 days; aIRR, 0.72; 95% CI, 0.52-0.99). No adverse events were reported.

conclusionsIsopropyl alcohol-impregnated central-line caps did not lead to a statistically significant reduction in CLABSI rates in ambulatory hematology-oncology patients. In the per-protocol analysis, there was a statistically significant decrease in positive blood cultures. Larger trials are needed to elucidate the impact of 70% isopropyl alcohol-impregnated caps in the ambulatory setting. REGISTRATION: ClinicalTrials.gov; NCT02351258.

Indexed as

Catheterization, Central VenousCatheter-Related InfectionsCentral Venous CathetersSepsisChildEthanolHumansEthanol

Identifiers

PMID33040755
PMCPMC8039053
OpenAlexW3092278641

What OpenQuestion holds

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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.