{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T04:32:38Z","timestamp":1790483558860,"version":"4.1.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T00:00:00Z","timestamp":1633737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Teleflex Inc."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>This study evaluated a chlorhexidine-coated peripherally inserted central catheter (PICC) and the incidence of associated complications within both inpatient and outpatient populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This IRB-approved, multicenter, prospective observational study was performed at three large teaching hospitals in the US. All adults who required a PICC for \u2a7e14\u2009days were considered. Patients were monitored throughout entire catheter dwell. Duplex venous ultrasounds were performed before insertion, after 10 to 14\u2009days of dwell time, and upon removal. Data was collected from the hospital, outpatient clinic, and patient PICC diary records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 103 patients, 56% male, with mean BMI 29\u2009\u00b1\u20098.8, were enrolled. The majority (79%) of patients were from high-risk groups\u2014cancer, infectious diseases, transplant, and trauma. Primary treatment indications were antibiotics (66.99%) and chemotherapy (25.24%). Double lumen PICCs (59.2%) were favored clinically, as was basilic vein placement (71.84%). Mean catheter dwell was 47.01\u2009\u00b1\u200925.82\u2009days. Three (3, 2.9%) central line-associated bloodstream infections (CLABSI) were reported. Four patients (4.6%) reported symptomatic catheter-related thrombosis (CRT), confirmed with ultrasound. Three patients (3.4%) had ultrasound-confirmed fibroblastic sleeve (FS). Eight patients (9.2%) who entered the study with pre-existing superficial thrombosis, had complete resolution at the time of catheter removal. The incidence of CLABSI was 0.82\/1000\u2009days. The combined CRT and FS rate was 6.9%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Based upon the observational findings of this study, chlorhexidine-coated PICC technology may be considered for use in patient populations who are at moderate to high-risk for catheter-related complications in both inpatient and outpatient settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298211049648","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T22:56:37Z","timestamp":1633906597000},"page":"225-231","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical experience with a chlorhexidine-coated PICC: A prospective, multicenter, observational study"],"prefix":"10.1177","volume":"25","author":[{"given":"Michael A","family":"Winkler","sequence":"first","affiliation":[{"name":"Department of Radiology, Medical College of Georgia, Augusta University, Augusta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-2034","authenticated-orcid":false,"given":"Timothy R","family":"Spencer","sequence":"additional","affiliation":[{"name":"Global Vascular Access, LLC, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasir","family":"Siddiqi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Baylor College of Medicine, Baylor University, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica E","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Radiology, Geffen School of Medicine, University of California, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Z","family":"Gallien","sequence":"additional","affiliation":[{"name":"Department of Emergency, School of Medicine, Wayne State University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam","family":"Elbalasi","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Issa","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Driss","family":"Raissi","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Medicine, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,9]]},"reference":[{"key":"bibr1-11297298211049648","doi-asserted-by":"publisher","DOI":"10.7326\/M15-0744"},{"key":"bibr2-11297298211049648","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2847"},{"key":"bibr3-11297298211049648","unstructured":"iData Research. 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