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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: PICCing the best access for your patient. | Available online at http ccforum.eom content 10 5 315 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique PICCing the best access for your patient Mohammed Tariq1 and David T. Huang2 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Departments of Critical Care Medicine and Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 7th September 2006 This article is online at http ccforum.com content 10 5 315 2006 BioMed Central Ltd Critical Care 2006 10 315 DOI 101186 cc5031 Expanded Abstract Citation Safdar N Maki DG Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest 2005 128 489-495 1 . Background Peripherally inserted central venous catheters PICCs are widely used for intermediate and long-term access especially in the inpatient setting where they are increasingly supplanting conventional central venous catheters CVCs . Data on the risk of PICC-related bloodstream infection BSI hospitalized patients are limited. Methods Objective To determine the risk of PICC-related BSI in hospitalized patients. Design Prospective cohort study using data from two randomized trials assessing the efficacy of chlorhexidine-impregnated sponge dressing and chlorhexidine for cutaneous antisepsis. Subjects PICCs inserted into the antecubital vein in two randomized trials conducted from 1998 to 2000 were prospectively studied most patients were in an ICU. Measurements PICC-related BSI was confirmed in each case by demonstrating concordance between isolates colonizing the PICC at the time of removal and from blood cultures using restriction-fragment DNA subtyping. Results Overall 115 patients had 251 PICCs placed. Mean duration of .