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Antimicrobial-Modified Vascular Catheters

  • Rabih O. DarouicheEmail author
Chapter
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Abstract

Vascular catheters constitute an essential component of modern health care. The escalating use of vascular catheters has highlighted the need to optimize prevention of infectious complications. Bloodstream infection is the most common serious complication of indwelling vascular catheters. Although strict implementation of traditional infection control measures continues to be the primary measure for preventing infection, the level of adherence by medical staff to such measures varies over time, between different units, and across various medical centers. This limitation underscores the need to assess the potential clinical impact of surface modification of vascular catheters. Since catheter colonization can be a prelude to infection, antimicrobial modification of the surfaces of catheters has the potential of not only inhibiting bacterial colonization of the catheter surfaces but also reducing the incidence of catheter-related bloodstream infection. A number of antimicrobial-modified vascular catheters are currently available for patient care, but they differ with regard to the type of antimicrobials, application on the external versus internal catheter surfaces, spectrum and durability of antimicrobial activity, and the ability to clinically protect against catheter-related bloodstream infection. Scientific evidence should guide the present and future applications of antimicrobial-modified catheters.

Keywords

Central Venous Catheter Bloodstream Infection Vascular Catheter Silver Sulfadiazine Catheter Colonization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

Dr. Darouiche is a coinventor of the impregnation of vascular catheters with the combination of minocycline and rifampin. Baylor College of Medicine, the employer of Dr. Darouiche, owns the corresponding patents and has executed a licensing agreement with Cook Inc. for manufacturing of vascular catheters impregnated with minocycline and rifampin. Baylor College of Medicine provides Dr. Darouiche with a certain portion of the royalties received from Cook Inc.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Center for Prostheses Infection and Infectious Disease SectionMichael E. DeBakey Veterans Affairs Medical Center and Baylor College of MedicineHoustonUSA

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