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Long-term Hemodialysis Catheter Removal and Delayed Replacement, Versus Exchange Over a Guidewire to Treat Catheter Related Blood Stream Infection

A

Ain Shams University

Status

Completed

Conditions

Catheter Related Blood Stream Infection

Treatments

Device: catheter replacement

Study type

Interventional

Funder types

Other

Identifiers

NCT03054714
tunneled hemodialysis

Details and patient eligibility

About

Prospective, randomized Study of tunneled cuffed hemodialysis catheter removal and delayed replacement, versus exchange over a guidewire to treat catheter related blood stream infection

Full description

The aim of this study was to compare the clinical outcomes of catheter-related (CRBSI) managed with two different strategies: Guidewire exchange of the infected catheter with a new one over a guidewire versus catheter removal with delayed replacement.

Enrollment

798 patients

Sex

All

Ages

14 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • All patients end stage renal disease on hemodialysis from tunneled cuffed dialysis catheters with suspected catheter-related bloodstream infection with no identifiable infection source except the catheter were included.

Exclusion criteria

  • metastatic infection,

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

798 participants in 2 patient groups

group A
Active Comparator group
Description:
exchange of the infected catheter with a new one over a guidewire
Treatment:
Device: catheter replacement
group B
Active Comparator group
Description:
removal of the infected catheter followed by delayed placement of a new catheter 3 to 10 days later
Treatment:
Device: catheter replacement

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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