Infection Clinical Trial
We, the researchers at Centre National de Greffe de Moelle Osseuse, have shown in a
randomised study (in press), that a low dose of unfractionated heparin (100 IU/kg/daily) was
safe and effective to prevent catheter-related bloodstream infection in patients with
haemato-oncological disease.
The aim of this prospective randomised controlled trial is to compare the incidence of
catheter-related bloodstream infection in 2 groups of patients with haemato-oncological
disease:
- Group A: heparin impregnated catheters
- Group B: low-dose unfractionated heparin (100 IU/kg/daily)
Studies have shown that catheter-related infection may be due to fibrin deposition
associated with catheters. Interventions designed to decrease fibrin deposition and thrombus
formation have the potential to reduce catheter-related infections. Seven randomised studies
have been performed to assess the safety and efficacy of heparin (either as an infusion or
bonded to central venous catheter) on central venous catheter-related bloodstream
infections. Although a meta-analysis of 4 studies looking at heparin either as an infusion
or bonded to central venous catheter showed a strong trend for a reduction in
catheter-related bloodstream infection with the use of heparin, these studies used variable
definitions of catheter-related infections.
We have shown in a randomised study (in press), that low dose of unfractionated heparin (100
IU/kg/daily) was safe and effective to prevent catheter-related bloodstream infection in
patients with haemato-oncological disease. The aim of this prospective randomised controlled
trial is to compare the incidence of catheter-related bloodstream infection in 2 groups of
patients with haemato-oncological disease:
- Group A: heparin impregnated catheters
- Group B: low-dose unfractionated heparin (100 IU/kg/daily)
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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