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(Chest. 1996;109:1030-1032.)
© 1996 American College of Chest Physicians

Efficacy of Subcutaneous Silver-Impregnated Cuffs in Preventing Central Venous Catheter Infections

Nahidh W.M.A. Hasaniya MD1; Michael Angelis MD1; Michael R. Brown MD, PhD1; and Mihae Yu MD1

1 From the Department of Surgery, University of Hawaii, The Queen's Medical Center, Honolulu

Study objectives: To determine the efficacy of an attachable subcutaneous silver-impregnated cuff in preventing local central venous catheter (CVC)-related infection and catheter-related sepsis in critically ill surgical patients.

Design: A prospective analysis of the use of an attachable subcutaneous silver-impregnated cuff compared with a control group in two consecutive time periods.

Setting: Two surgical ICUs at The Queen's Medical Center at the University of Hawaii Surgical Residency Program, Honolulu.

Patients: All surgical ICU patients requiring insertion of central catheters.

Interventions: None.

Measurement and main result: Two hundred thirty-five CVCs in 154 patients were prospectively evaluated. Silver-impregnated cuffs were used in the first 100 catheters, but none were used in the remaining 135 catheters. The incidence of catheter-related infection in both groups was 15% and 20%, respectively, not statistically significant. Catheter-related sepsis was 3% in both groups.

Conclusions: The use of an attachable subcutaneous silver-impregnated cuff failed to decrease the incidence of CVC-related infection and sepsis.

Key Words: central venous catheter infections • sepsis • subcutaneous cuffs

Submitted on November 29, 1994
Accepted on August 30, 1995




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