Non-Antibiotic Antimicrobial Catheter Lock Solutions in Patients on Home Parenteral Nutrition

Patients on home parenteral nutrition (HPN) are dependent on central venous access for long-term sustenance, and catheter-related bloodstream infections (CRBSIs) are a major cause of morbidity and mortality in this patient population. As such, there is much interest in finding new methods for preven...

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Veröffentlicht in:Nutrients 2018-08, Vol.10 (9), p.1165
Hauptverfasser: Noelting, Jessica, Jurewitsch, Brian, Allard, Johane P
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Jurewitsch, Brian
Allard, Johane P
description Patients on home parenteral nutrition (HPN) are dependent on central venous access for long-term sustenance, and catheter-related bloodstream infections (CRBSIs) are a major cause of morbidity and mortality in this patient population. As such, there is much interest in finding new methods for preventing CRBSIs in patients on HPN. As it is thought that these infections are preceded by microbial colonization of the catheter, one approach is to use antimicrobial catheter lock solutions. Although antibiotic catheter lock solutions have been present for decades, their use has been mostly limited to the treatment of CRBSIs due to concern for promoting microbial resistance. Recently, however, with the advent of non-antibiotic antimicrobial catheter lock solutions, this approach is gaining popularity as a promising method to decrease rates of CRBSI in HPN patients.
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As such, there is much interest in finding new methods for preventing CRBSIs in patients on HPN. As it is thought that these infections are preceded by microbial colonization of the catheter, one approach is to use antimicrobial catheter lock solutions. Although antibiotic catheter lock solutions have been present for decades, their use has been mostly limited to the treatment of CRBSIs due to concern for promoting microbial resistance. 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subjects Adults
Anti-Bacterial Agents - therapeutic use
Anti-Infective Agents - adverse effects
Anti-Infective Agents - therapeutic use
Antibiotics
Anticoagulants
Antiinfectives and antibacterials
Antimicrobial agents
Biofilms
blood flow
Catheter-Related Infections - diagnosis
Catheter-Related Infections - microbiology
Catheter-Related Infections - prevention & control
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - instrumentation
Catheters
Catheters, Indwelling - adverse effects
Central Venous Catheters - adverse effects
Clinical trials
Colonization
Drug Resistance, Bacterial
Ethanol
Gastroenterology
Hemodialysis
Humans
Infections
Medical instruments
methodology
microbial colonization
Microorganisms
Morbidity
mortality
Nutrition
parenteral feeding
Parenteral nutrition
Parenteral Nutrition, Home - adverse effects
Parenteral Nutrition, Home - instrumentation
Patients
Prevention
Protective Factors
Review
Risk Factors
Systematic review
Treatment Outcome
title Non-Antibiotic Antimicrobial Catheter Lock Solutions in Patients on Home Parenteral Nutrition
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