Abstract
Catheter-related bloodstream infection is one of the most serious complications of central venous access devices. Antimicrobial-coated catheters represent one novel strategy to prevent catheter-related bloodstream infection. A comprehensive economic evaluation is essential to guide informed decision-making regarding the adoption of this technology and its expected benefits in healthcare institutions.
Highlights
In the previous issue of Critical Care, Halton and colleagues provided a comprehensive cost-effectiveness analysis comparing antimicrobial catheters with uncoated catheters for prevention of catheter-related bloodstream infection (BSI) in the intensive care unit [1]
Upwards of 5 million US patients require prolonged central venous access each year [4,5]. These devices are associated with a considerable risk of catheter-related BSI, with approximately 80,000 catheter-related BSIs occurring in the United States annually
The efficacy of antimicrobial-coated catheters compared with uncoated catheters for reducing BSI has been demonstrated in several randomized controlled trials, systematic reviews and meta-analyses [11], the decision to adopt these catheters is complex because of the increased cost relative to uncoated catheters, uncertainty regarding the magnitude of adverse consequences of catheter-related BSI, and the relative efficacy of the various types of antimicrobial catheters
Summary
In the previous issue of Critical Care, Halton and colleagues provided a comprehensive cost-effectiveness analysis comparing antimicrobial catheters with uncoated catheters for prevention of catheter-related bloodstream infection (BSI) in the intensive care unit [1]. Catheter-related bloodstream infection is one of the most serious complications of central venous access devices.
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